Organization
BELLEVIEW COMMUNITY PHARMACY
Active
Other names
LEESBURG COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CRIMI (MGR)
(352) 347-5225
Entity
Organization
Contact information
Practice address
2500 CITRUS BLVD, LEESBURG, FL 34748-3063
(352) 728-0477
(352) 315-3836
Mailing address
10762 SE US HIGHWAY 441, BELLEVIEW, FL 34420-3805
(352) 347-4064
(352) 347-6832
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH21895
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116889300
—
FL
01
—
2006622
PK
—
Enumeration date
05/23/2006
Last updated
02/27/2023
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