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Organization
MY PHARMACY CRYSTAL RIVER, LLC
Active
Organization
MY PHARMACY CRYSTAL RIVER, LLC
Active
Parent organization
MY PHARMACY CRYSTAL RIVER, LLC
Other names
Citrus Crystal River
Organization subpart
Yes
Provider details
NPI number
Legal business name
MY PHARMACY CRYSTAL RIVER, LLC
Authorized official
BRIAN BRANHAM (VP OF FINANCE & SALES)
(321) 221-0658
Entity
Organization
Contact information
Practice address
927 N CITRUS AVE, CRYSTAL RIVER, FL 34428
(352) 565-7342
(352) 565-5880
Mailing address
2710 REW CIRCLE SUITE 200, OCOEE, FL 34761
(407) 654-5414
(407) 654-9614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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