Organization
JACKSON PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARROCHE FERNANDEZ (PRESIDENT)
(305) 403-0210
Entity
Organization
Contact information
Practice address
940 SW 82ND AVE, MIAMI, FL 33144-4270
(305) 403-0210
(305) 722-0678
Mailing address
940 SW 82ND AVE, MIAMI, FL 33144-4270
(305) 403-0210
(305) 722-0678
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH21946
FL
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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