Organization
MCR HEALTH, INC.
Active
Other names
Fruitville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN B PRICE (PRESIDENT & CEO)
(941) 776-4000
Entity
Organization
Contact information
Practice address
170 N LIME AVE, SARASOTA, FL 34237-6122
(941) 776-4000
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
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110402000
—
FL
Enumeration date
10/15/2020
Last updated
11/28/2023
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