Organization
THE JEROME GOLDEN CENTER FOR BEHAVIORAL HEALTH INC
Active
Other names
Jerome Golden Center for Behavior
Organization subpart
No
Provider details
NPI number
Authorized official
THANH LE PHARMD (PHARMACIST)
(561) 383-5765
Entity
Organization
Contact information
Practice address
1041 45TH ST, WEST PALM BEACH, FL 33407-2402
(561) 383-5706
(561) 514-1965
Mailing address
1041 45TH ST, WEST PALM BEACH, FL 33407-2402
(561) 383-5706
(561) 514-1965
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PH1868
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105071100
—
FL
01
—
2008115
PK
—
Enumeration date
06/24/2006
Last updated
12/08/2016
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