Organization
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Active
Other names
Jackson Memorial Hospital Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAN ROBINSON (VP-CONTRACTING)
(806) 324-5507
Entity
Organization
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5890
(806) 242-0502
Mailing address
PO BOX 864781, ORLANDO, FL 32886-4781
(806) 324-5507
(806) 324-5495
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PH0008215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153844
PK
—
Enumeration date
09/03/2015
Last updated
09/03/2015
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