Most Relevant Information
Provider Data
| NPI Number: | 1003009002 |
| Provider Name: | MAYA BASIN RPH. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 047436 |
Most Important Dates
| Enumeration Date: | 08/22/2007 |
| Last Updated: | 01/25/2013 |
Provider Practice Location
250 174TH ST
APT 704
SUNNY ISLES BEACH
FL
331603323
Practice Location Phone/Fax
| Phone: | 9173590977 |
| Fax: |
Provider Mailing Location
250 174TH ST
APT 704
SUNNY ISLES BEACH
FL
331603323
Provider Mailing Phone/Fax
| Phone: | 9173590977 |
| Fax: |