Organization Name: | BALANCED SOLUTIONS COMPOUNDING PHARMACY, LLC. |
NPI Number: | 1467750679 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN A WILTZ (BSD GENERAL MANAGER) |
Mailing Address: | 550 Technology Park Suite 1008 Lake Mary |
State: | FL US |
Postal Code: | 327467131 |
Phone Number: | 4079362999 |
Fax Number: | 8009107195 |
NPI Enumeration Date: | 03/11/2011 |
NPI Last Update Date: | 03/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |