Organization
MIAMI CHILDRENS HOSPITAL
Active
Other names
MIAMI CHILDRENS HOSPITAL PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE CHAN (DIR PCHY SVS)
(305) 663-8512
Entity
Organization
Contact information
Practice address
6125 SW 31ST ST, MIAMI, FL 33155-3003
(305) 669-7155
(305) 669-6564
Mailing address
6125 SW 31ST ST, MIAMI, FL 33155-3003
(305) 669-7155
(305) 669-6564
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
PH8001
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034266
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
106585800
—
FL
05
—
106585801
—
FL
Enumeration date
06/24/2006
Last updated
06/22/2010
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