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NPI Code Detail

MEDICARE: ROUDELYNE BASTIEN

MEDICARE: ROUDELYNE BASTIEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS51346FL

General Provider Information

NPI Number : 1881289023
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROUDELYNE BASTIEN
Provider Business Mailing Address
First Line : 9693 NW 28TH PL
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-5034
Country : US
Telephone Number : 954-549-3297
Fax Number :
Provider Business Practice Location Address
First Line : 301 S STATE ROAD 7
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33023-6756
Country : US
Telephone Number : 754-260-6711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2021
Last Update Date : 03/09/2021

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Directions to “ ROUDELYNE BASTIEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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