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Organization

BELLEVIEW COMMUNITY PHARMACY, LLC

Active
Other names
Belleview Community Pharmacy, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL CRIMI JR. P.A. (MANAGER/OWNER)
(352) 427-8680
Entity
Organization

Contact information

Practice address
2500 CITRUS BLVD., LEESBURG, FL 34748-3063
(352) 728-0477
(352) 315-3836
Mailing address
10762 SE US HWY 441, BELLEVIEW, FL 34420-3805
(352) 347-4064
(352) 347-6832

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH21895
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031408100
FL
05
031408101
FL
01
1094185
NCPDP PROVIDER ID #
Enumeration date
05/03/2006
Last updated
10/23/2012
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