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Individual
MAYA BASIN
Active
Individual
MAYA BASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
047436
NY
183500000X
Pharmacist
28RI03417200
NJ
183500000X
Pharmacist
PS47269
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047436
PHARMACIST
NY
01
—
28RI03417200
PHARMACIST
NJ
01
—
PS47269
PHARMACIST
FL
Enumeration date
08/22/2007
Last updated
01/25/2013
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