Organization
DOUGLAS GARDENS COMMUNITY MENTAL HEALTH CENTER PHARMACY
Active
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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