Provider Demographics
NPI:1821078452
Name:CADET, MITCH (RPH)
Entity Type:Individual
Prefix:MR
First Name:MITCH
Middle Name:
Last Name:CADET
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-3795
Mailing Address - Country:US
Mailing Address - Phone:305-576-5854
Mailing Address - Fax:305-576-2842
Practice Address - Street 1:3601 FEDERAL HWY
Practice Address - Street 2:BORINQUEN PHARMACY
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137
Practice Address - Country:US
Practice Address - Phone:305-576-5854
Practice Address - Fax:305-576-2842
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35165183500000X
FLPS 35165183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist