Organization
BALANCED SOLUTIONS COMPOUNDING PHARMACY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN A WILTZ II MD (BSD GENERAL MANAGER)
(407) 936-2999
Entity
Organization
Contact information
Practice address
550 TECHNOLOGY PARK, SUITE 1008, LAKE MARY, FL 32746-7131
(407) 936-2999
(800) 910-7195
Mailing address
550 TECHNOLOGY PARK, SUITE 1008, LAKE MARY, FL 32746-7131
(407) 936-2999
(800) 910-7195
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25311
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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