Organization
BAPTIST HEALTH PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILTON HERNANDEZ (PRESIDENT)
(786) 328-9539
Entity
Organization
Contact information
Practice address
13730 SW 84TH ST, MIAMI, FL 33183-4000
(786) 328-9539
Mailing address
13730 SW 84TH ST, MIAMI, FL 33183-4000
(786) 328-9539
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
FL. BOARD OF PHARMACY
FL
Enumeration date
01/11/2012
Last updated
01/11/2012
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