Organization
JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC
Active
Parent organization
JESSIE TRICE COMMUNITY HEALTH SYSTEM INC
Other names
MAIN PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
JESSIE TRICE COMMUNITY HEALTH SYSTEM INC
Authorized official
RYAN R. HAWKINS (PRESIDENT & CEO)
(305) 805-1700
Entity
Organization
Contact information
Practice address
5607 NW 27TH AVENUE, SUITE 1, MIAMI, FL 33142
(305) 499-1928
(305) 634-1845
Mailing address
5607 NW 27TH AVE STE 1, MIAMI, FL 33142-2826
(305) 499-1928
(305) 634-1845
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111006300
—
FL
01
—
PH33308
STATE
FL
Enumeration date
04/21/2021
Last updated
10/28/2025
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