MEDICARE: MED SOLUTIONS PHARMACY

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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1982022620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED SOLUTIONS PHARMACY

Provider Business Mailing Address
First Line	:	1078 S POWERLINE RD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-8119
Country	:	US
Telephone Number	:	855-394-6337
Fax Number	:	855-315-7478

Provider Business Practice Location Address
First Line	:	1078 S POWERLINE RD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-8119
Country	:	US
Telephone Number	:	855-394-6337
Fax Number	:	855-315-7478

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	SHERINE BAHNA
Credential	:	PHARM D
Telephone Number	:	561-602-5383

Provider Enumeration Date	:	03/31/2014
Last Update Date	:	08/07/2014

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