Organization
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Active
Other names
Jackson North Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MARK T KNIGHT (CHIEF FINANCIAL OFFICER)
(305) 585-7979
Entity
Organization
Contact information
Practice address
160 NW 170TH ST, PHARMACY DEPARTMENT, NORTH MIAMI BEACH, FL 33169-5521
(305) 654-5092
Mailing address
160 NW 170TH ST, PHARMACY DEPARTMENT, NORTH MIAMI BEACH, FL 33169-5521
(305) 654-5092
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22559
FL
3336I0012X
Institutional Pharmacy
PH22558
FL
Other
Enumeration date
03/13/2007
Last updated
03/11/2020
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