MEDICARE: MIAMI SPRINGS PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PH20937	FL

General Provider Information

NPI Number	:	1588713465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI SPRINGS PHARMACY

Provider Business Mailing Address
First Line	:	45 CURTISS PKWY
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-5218
Country	:	US
Telephone Number	:	305-888-5259
Fax Number	:	305-863-9618

Provider Business Practice Location Address
First Line	:	45 CURTISS PKWY
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-5218
Country	:	US
Telephone Number	:	305-888-5259
Fax Number	:	305-863-9618

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. CAROL E DODGEN
Credential	:
Telephone Number	:	305-888-5259

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	08/22/2020

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Directions to “MIAMI SPRINGS PHARMACY ” Practice Location

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