Organization
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Active
Other names
NORTH DADE HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN NEMEROFF (ASSOCIATE DIRECTOR PHARMACY)
(305) 585-6780
Entity
Organization
Contact information
Practice address
16555 NW 25TH AVE, OPA LOCKA, FL 33054-6583
(786) 466-1735
(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
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
PH23948
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104702700
—
FL
05
—
104702701
—
FL
01
—
2011598
PK
—
Enumeration date
11/13/2006
Last updated
03/18/2019
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