Organization
JACKSON PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVROCHE FERNANDEZ (PRESIDENT)
(305) 403-0210
Entity
Organization
Contact information
Practice address
940 SW 87 AVE, MIAMI, FL 33144
(305) 403-0210
(305) 722-0678
Mailing address
940 SW 87 AVE, MIAMI, FL 33144
(305) 403-0210
(305) 722-0678
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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