Organization
SUNCOAST COMMUNITY HEALTH CENTER INC
Active
Other names
Tom Lee Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HUNT PHARMACIST (PHARMACY DIRECTOR)
(813) 349-7859
Entity
Organization
Contact information
Practice address
14254 SR 574 BVLD, DOVER, FL 33527
(813) 349-7749
(813) 349-7769
Mailing address
PO BOX 1349, RUSKIN, FL 33575-1349
(813) 349-7749
(813) 349-7769
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PH12911
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106432100
—
FL
01
—
2012640
PK
—
Enumeration date
08/08/2006
Last updated
03/30/2015
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