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Organization
TARGET
Active
Organization
TARGET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRELL JEFFERSON (RX BUSINESS PARTNER)
(678) 521-7938
Entity
Organization
Contact information
Practice address
15005 SW 88TH ST, MIAMI, FL 33196-1314
(305) 383-1409
Mailing address
15005 SW 88TH ST, MIAMI, FL 33196-1314
(305) 383-1409
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS49950
FL
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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