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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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