Individual
ALEXANDRA BAZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14229 SW 111TH LN, MIAMI, FL 33186-7024
(786) 246-5133
Mailing address
14229 SW 111TH LN, MIAMI, FL 33186-7024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS61687
FL
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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