Organization
DOUGLAS GARDENS COMMUNITY MENTAL HEALTH CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELEANOR LANSER LCSW (EXECUTIVE DIRECTOR)
(305) 531-5341
Entity
Organization
Contact information
Practice address
1680 MERIDIAN AVE, 4TH FLOOR, MIAMI BEACH, FL 33139-2719
(305) 531-5341
Mailing address
1680 MERIDIAN AVE, SUITE 501, MIAMI BEACH, FL 33139-2719
(305) 531-5341
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH10854
FL
3336L0003X
Long Term Care Pharmacy
PH10854
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100730100
—
FL
01
—
1075630
NABP NUMBER
FL
Enumeration date
11/15/2006
Last updated
03/07/2023
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