Balanced Solutions Compounding Pharmacy, LLC.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25311 Issued in FL

Legal business name

BALANCED SOLUTIONS COMPOUNDING PHARMACY, LLC.

Practice address

550 Technology Park
Suite 1008
Lake Mary, FL 32746-7131

Phone

(407) 936-2999

Fax

(800) 910-7195

NPI assigned

Mar 11, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin A Wiltz II, MD

Title

BSD General Manager

Phone

(407) 936-2999

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1467750679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 TECHNOLOGY PARK",
            "address_2": "SUITE 1008",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467131",
            "telephone_number": "407-936-2999",
            "fax_number": "800-910-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 TECHNOLOGY PARK",
            "address_2": "SUITE 1008",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467131",
            "telephone_number": "407-936-2999",
            "fax_number": "800-910-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED SOLUTIONS COMPOUNDING PHARMACY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "WILTZ",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BSD GENERAL MANAGER",
        "authorized_official_telephone_number": "407-936-2999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25311",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Bajwa
• Katherine Miner Baker, OTD, OT/L
• Raeannen M Baker, LPN
• Stephanie Baker, COTA/L
• Stephanie Boren Baker, PT
• Victoria Lynn Balash, PTA
• Harlee Baldwin
• Balinder S. Chahal, MD. P.a.
• Balinder S. Chahal, MD., PA
• Susan Balkaran, B.S

• Community/Retail Pharmacy in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.