Organization
HOLMES REGIONAL MEDICAL CENTER
Active
Other names
Health First Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN PULIO (EVP CFO)
(301) 315-3569
Entity
Organization
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7355
(321) 434-6105
Mailing address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7355
(321) 434-6105
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PH27937
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160555
PK
—
Enumeration date
06/08/2016
Last updated
02/20/2025
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