Organization
MCR HEALTH, INC.
Active
Other names
Southwest Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN PRICE (PRESIDENT AND CEO)
(941) 776-4000
Entity
Organization
Contact information
Practice address
5325 26TH ST W, BRADENTON, FL 34207-3012
(941) 216-4400
(941) 216-4434
Mailing address
101 RIVERFRONT BLVD STE 710, BRADENTON, FL 34205-8812
(941) 776-4000
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
333600000X
Pharmacy
Primary
PH31356
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0295612XX
FFS
FL
05
—
25104000
—
FL
Enumeration date
07/12/2013
Last updated
11/27/2023
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