Organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Active
Parent organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Other names
Jackson Pharmacy Jackson South
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Authorized official
MR. MARK T KNIGHT CPA (CHIEF FINANCIAL OFFICER)
(305) 585-4211
Entity
Organization
Contact information
Practice address
9333 SW 152ND STREET, MIAMI, FL 33157
(305) 256-5182
(305) 256-5183
Mailing address
PO BOX 12493, MIAMI, FL 33101-2493
(786) 466-8101
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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