Organization
C & C COMMUNITY PHARMACY INC
Active
Other names
C AND C COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT R. TAFT (OWNER)
(205) 218-0815
Entity
Organization
Contact information
Practice address
927 S. GOLDWYN AVE #111, ORLANDO, FL 32805
(407) 295-6201
(407) 295-0306
Mailing address
927 S. GOLDWYN AVE #111, ORLANDO, FL 32805
(407) 295-6201
(407) 295-0306
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
PH12052
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101947300
—
FL
01
—
2011331
PK
—
05
—
682675096
—
FL
Enumeration date
12/01/2006
Last updated
10/11/2024
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