Organization
MELBOURNE PHARMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BOEHMER RPH (PRESIDENT)
(321) 423-6200
Entity
Organization
Contact information
Practice address
2235 S BABCOCK ST, MELBOURNE, FL 32901-5305
(321) 423-6200
Mailing address
2235 S BABCOCK ST, MELBOURNE, FL 32901-5305
(321) 423-6200
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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