Jackson South Pharmacy

LBN: Public Health Trust Of Miami Dade County Florida
Jackson South Pharmacy is an health care organization with primary practice located at 9333 Sw 152Nd St , Palmetto Bay FL 33157-1778. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Public Health Trust Of Miami Dade County Florida can be contacted via phone (305) 256-5182, or through Nemeroff, Steven via phone (305) 585-6780.

Contact Information

Primary practice address
9333 Sw 152Nd St Palmetto Bay FL 33157-1778
Fax: (305) 256-5183
Website:
Authorized official contact:
Name: Nemeroff, Steven

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1720149818
LBN Legal business name Public Health Trust Of Miami Dade County Florida
DBA Doing business as Jackson South Pharmacy
Authorized official Nemeroff, Steven
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Feb 28th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720149818 NPPES
Florida MEDICAID 003420601
Florida Other 2008200
Florida MEDICAID 003420600

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