# PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JACKSON WEST PHARMACY INPATIENT/INSTITUTIONAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346829702
- **Authorized official:** MARK T KNIGHT (EVP/CFO)
- **Authorized official phone:** (305) 585-7979

## Contact information

- **Practice address:** 2801 NW 79TH AVE, DORAL, FL 33122-1174
- **Practice address phone:** (786) 466-1010
- **Mailing address:** PO BOX 12493, MIAMI, FL 33101-2493
- **Mailing address phone:** (786) 466-8101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2021
- **Last updated:** 04/05/2021