Organization
MAYASCRIPT, INC.
Active
Other names
Mayascript Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO BANNATYNE (CEO)
(407) 921-2658
Entity
Organization
Contact information
Practice address
1141 ORANGE AVE, WINTER PARK, FL 32789-4907
(407) 740-6292
(407) 636-7322
Mailing address
509 S CHICKASAW TRL, STE 381, ORLANDO, FL 32825-7801
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28700
FL
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149633
PK
—
Enumeration date
01/13/2015
Last updated
01/13/2015
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