Organization
BRASHEARS VITAL CARE CORP
Active
Other names
Brashear's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE BRASHEAR (DIRECTOR)
(352) 637-2079
Entity
Organization
Contact information
Practice address
471 N DACIE PT, LECANTO, FL 34461
(352) 746-3420
(352) 746-6741
Mailing address
471 N DACIE PT, LECANTO, FL 34461
(352) 746-3420
(352) 746-6741
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22730
FL
Other
Enumeration date
06/22/2007
Last updated
09/11/2014
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