Organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Active
Other names
Jackson South Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN NEMEROFF (ASSOCIATE DIRECTOR OF PHARMACY)
(305) 585-6780
Entity
Organization
Contact information
Practice address
9333 SW 152ND ST, PALMETTO BAY, FL 33157-1778
(305) 256-5182
(305) 256-5183
Mailing address
9333 SW 152ND ST, PALMETTO BAY, FL 33157-1778
(305) 256-5182
(305) 256-5183
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003420600
—
FL
05
—
003420601
—
FL
01
—
2008200
PK
—
Enumeration date
12/12/2006
Last updated
02/28/2022
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