Organization
BREVARD HEALTH ALLIANCE INC
Active
Organization
BREVARD HEALTH ALLIANCE INC
Active
Other names
BHA Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CRAIG (DIRECTOR OF BILLING)
(321) 241-6834
Entity
Organization
Contact information
Practice address
2120 SARNO RD, MELBOURNE, FL 32935-3084
(321) 241-6800
(321) 241-6888
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101739800
—
FL
Enumeration date
07/26/2018
Last updated
05/09/2019
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