Organization
CITRUS HEALTH NETWORK, INC.
Active
Other names
Citrus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO JARDON (CEO)
(305) 825-0300
Entity
Organization
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 424-3177
(305) 556-2580
Mailing address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
(305) 556-2580
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH8703
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105376100
—
FL
01
—
2005744
PK
—
Enumeration date
10/13/2006
Last updated
09/30/2015
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