Organization
BABASA INC
Active
Other names
Med Citi Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MADHAVI MADASU (OWNER)
(305) 767-9977
Entity
Organization
Contact information
Practice address
11373 SW 211TH ST STE 9, MIAMI, FL 33189-2246
(305) 254-5622
(305) 254-5623
Mailing address
11373 SW 211TH ST STE 9, MIAMI, FL 33189-2246
(305) 254-5622
(305) 254-5623
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015940500
—
FL
01
—
2130567
PK
—
Enumeration date
05/31/2011
Last updated
02/14/2017
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