Organization
BELLEVIEW COMMUNITY PHARMACY
Active
Other names
BELLEVIEW COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CRIMI (OWNER)
(352) 347-4064
Entity
Organization
Contact information
Practice address
10762 SE US HIGHWAY 441, BELLEVIEW, FL 34420-3805
(352) 347-4064
(352) 347-6832
Mailing address
10762 SE US HIGHWAY 441, BELLEVIEW, FL 34420-3805
(352) 347-4064
(352) 347-6832
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH18200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025126700
—
FL
01
—
2014163
PK
—
Enumeration date
07/28/2005
Last updated
02/16/2017
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