# MIAMI CHILDRENS HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MIAMI CHILDRENS HOSPITAL PHCY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679509459
- **Authorized official:** CONSTANCE CHAN (DIR PCHY SVS)
- **Authorized official phone:** (305) 663-8512

## Contact information

- **Practice address:** 6125 SW 31ST ST, MIAMI, FL 33155-3003
- **Practice address phone:** (305) 669-7155
- **Practice address fax:** (305) 669-6564
- **Mailing address:** 6125 SW 31ST ST, MIAMI, FL 33155-3003
- **Mailing address phone:** (305) 669-7155
- **Mailing address fax:** (305) 669-6564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | — |
| 3336C0002X | Clinic Pharmacy | — | — | — |
| 3336I0012X | Institutional Pharmacy | PH8001 | FL | Yes |
| 3336S0011X | Specialty Pharmacy | — | — | — |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 06/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1034266 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 106585800 | — | FL |
| 05 | — | 106585801 | — | FL |