Organization
SUNCOAST COMMUNITY HEALTH CENTERS INC
Active
Other names
Brandon Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HUNT (PHARMACY DIRECTOR)
(813) 349-7959
Entity
Organization
Contact information
Practice address
313 S LAKEWOOD DR, BRANDON, FL 33511-2815
(813) 349-7949
(813) 685-9188
Mailing address
PO BOX 1349, RUSKIN, FL 33575-1349
(813) 349-7959
(813) 349-7869
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH29455
FL
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165565
—
FL
01
—
2154760
PK
—
Enumeration date
10/22/2015
Last updated
12/08/2016
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