Organization
SUNCOAST COMMUNITY HEALTH CENTERS INC
Active
Other names
PALM RIVER COMMUNITY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HUNT PHARMACIST (PHARMACY DIRECTOR)
(813) 349-7859
Entity
Organization
Contact information
Practice address
7728 PALM RIVER RD, TAMPA, FL 33619-4215
(813) 630-3649
(813) 630-3669
Mailing address
PO BOX 1349, RUSKIN, FL 33575-1349
(813) 630-3649
(813) 626-4138
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
PH27495
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010848600
—
FL
01
—
2144545
PK
—
Enumeration date
03/07/2014
Last updated
12/18/2016
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