Clevens Jerome

NPI #1386196186 in Hialeah, Florida

Provider Information

NPI Number: 1386196186
Entity Type: Individual
Name: Clevens Jerome
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 27, 2016
Last Updated: Oct 27, 2016

Practice Location

Address: 400 HIALEAH DR
City: Hialeah
State: Florida
ZIP Code: 33010-5347
Phone: (305) 884-8774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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