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Organization
HOLMES REGIONAL MEDICAL CENTER
Active
Organization
HOLMES REGIONAL MEDICAL CENTER
Active
Other names
Health First Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN PULIO (EVP CFO)
(301) 315-3569
Entity
Organization
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7355
(321) 434-6105
Mailing address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7355
(321) 434-6105
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PH27937
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160555
PK
—
Enumeration date
06/08/2016
Last updated
02/20/2025
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