Organization
JRC COMPOUNDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CLURMAN PHARMD (MANAGER)
(352) 345-5303
Entity
Organization
Contact information
Practice address
18114 POWELL RD, BROOKSVILLE, FL 34604-8141
(352) 345-4849
(352) 345-8038
Mailing address
18114 POWELL RD, BROOKSVILLE, FL 34604-8141
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH33135
PHARMACY PERMIT
FL
Enumeration date
02/08/2021
Last updated
02/08/2021
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