Organization
MILLENIUM CLINIC PHARMACY INC
Active
Other names
Millenium Dade Pharmacy, Millenium Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHEREEN H ABDOH (OWNER / PIC)
(786) 301-5407
Entity
Organization
Contact information
Practice address
12914 SW 133RD CT STE B, MIAMI, FL 33186-6585
(786) 301-5407
Mailing address
12914 SW 133RD CT STE B, MIAMI, FL 33186-6585
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
PH30847
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH30847
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH30847
STATE PHARMACY LICENSE
FL
Enumeration date
08/03/2017
Last updated
08/21/2017
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