Organization
BRASHEARS VITAL CARE CORP
Active
Other names
BRASHEARS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BRASHEAR (PRESIDENT)
(352) 637-2079
Entity
Organization
Contact information
Practice address
206 W DAMPIER ST, INVERNESS, FL 34450-4212
(352) 637-2079
(352) 637-7118
Mailing address
206 W DAMPIER ST, INVERNESS, FL 34450-4212
(352) 637-2079
(352) 637-7118
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH11407
FL
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101216900
—
FL
01
—
2009633
PK
—
Enumeration date
07/11/2006
Last updated
03/29/2016
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