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Organization

CAMILLUS HEALTH CONCERN

Active
Other names
Good Shepherd Health Center Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LUZ MILAGROS LABRADA RAVELO R.PH. (DIRECTOR OF PHARMACY)
(305) 577-4840
Entity
Organization

Contact information

Practice address
336 NW 5TH ST, MIAMI, FL 33128-1616
(305) 577-4840
Mailing address
336 NW 5TH ST, MIAMI, FL 33128-1616
(305) 577-4840

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PH30458
FL
3336C0003X
Community/Retail Pharmacy
PH30458
FL

Other

Enumeration date
11/18/2016
Last updated
11/18/2016
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