Organization
BREVARD HEALTH ALLIANCE INC
Active
Organization
BREVARD HEALTH ALLIANCE INC
Active
Other names
BHA Palm Bay Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CRAIG (DIRECTOR OF BILLING)
(321) 241-6834
Entity
Organization
Contact information
Practice address
5270 BABCOCK ST NE STE 1, PALM BAY, FL 32905-4616
(321) 722-5959
(321) 722-5960
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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