Organization
BAXTER PHARMACY & DISCOUNT
Active
Organization
BAXTER PHARMACY & DISCOUNT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLANDO R BASTER (PRESIDENT)
(305) 408-7290
Entity
Organization
Contact information
Practice address
13730 SW 84TH ST, MIAMI, FL 33183-4000
(305) 408-7290
(305) 408-7289
Mailing address
13730 SW 84TH ST, MIAMI, FL 33183-4000
(305) 408-7290
(305) 408-7289
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
030949401
FL
332B00000X
Durable Medical Equipment & Medical Supplies
PH21401
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH21401
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030949400
—
FL
05
—
030949401
—
FL
Enumeration date
07/20/2006
Last updated
08/11/2008
Update your record
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