1700329059 NPI number — CAMILLUS HEALTH CONCERN

Table of content: (NPI 1700329059)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700329059 NPI number — CAMILLUS HEALTH CONCERN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAMILLUS HEALTH CONCERN
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
GOOD SHEPHERD HEALTH CENTER PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700329059
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/18/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
336 NW 5TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33128-1616
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-577-4840
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
336 NW 5TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33128-1616
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-577-4840
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/18/2016

Additional Information

Authorized Official

Authorized Official Last Name:
LABRADA RAVELO
Authorized Official First Name:
LUZ
Authorized Official Middle Name:
MILAGROS
Authorized Official Title or Position:
DIRECTOR OF PHARMACY
Authorized Official Telephone Number:
305-577-4840

Provider Taxonomy Codes

  • Taxonomy code: 3336C0002X , with the licence number:  PH30458 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336C0003X , with the licence number: PH30458 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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