Organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Active
Other names
Jackson Pharmacy Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN NEMEROFF (ASSOCIATE DIRECTOR PHARMACY)
(305) 585-6780
Entity
Organization
Contact information
Practice address
901 NW 17TH ST STE D, MIAMI, FL 33136-1135
(305) 585-3996
(806) 242-0502
Mailing address
PO BOX 864938, ORLANDO, FL 32886-4938
(806) 324-5507
(806) 324-5495
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PH23949
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003419200
—
FL
05
—
003419201
—
FL
01
—
2009220
PK
—
Enumeration date
11/13/2006
Last updated
02/28/2022
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