Provider Demographics
NPI:1588713465
Name:MIAMI SPRINGS PHARMACY
Entity type:Organization
Organization Name:MIAMI SPRINGS PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:E
Authorized Official - Last Name:DODGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-888-5259
Mailing Address - Street 1:45 CURTISS PKWY
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5218
Mailing Address - Country:US
Mailing Address - Phone:305-888-5259
Mailing Address - Fax:305-863-9618
Practice Address - Street 1:45 CURTISS PKWY
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-5218
Practice Address - Country:US
Practice Address - Phone:305-888-5259
Practice Address - Fax:305-863-9618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH209373336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy