Organization
LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS LLC
Active
Other names
Larkin Community Hospital Palm Springs Campus,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GIJO MATHEW PHARM.D, MBA,BCPS (DIRECTOR OF PHARMACY)
(305) 824-4780
Entity
Organization
Contact information
Practice address
1475 W 49TH ST, HIALEAH, FL 33012-3222
(305) 824-4780
Mailing address
1475 W 49TH ST, HIALEAH, FL 33012-3222
(305) 824-4771
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH29927
FL
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PH29927
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160355
PK
—
Enumeration date
02/25/2013
Last updated
03/16/2026
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