Organization
CAREMED HEALTH CORPORATION
Active
Other names
BROOKS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROSCOE HEIM PHARMACIST (PRES)
(239) 992-7633
Entity
Organization
Contact information
Practice address
3480 MORNING LAKE DR, UNIT 202, BONITA SPRINGS, FL 34134-9160
(239) 949-9036
Mailing address
3480 MORNING LAKE DR, UNIT 202, BONITA SPRINGS, FL 34134-9160
(239) 949-9036
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH17697
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1092155
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/26/2006
Last updated
02/24/2012
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