Organization
PREMIER COMMUNITY HEALTH CARE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA B DELONG (CFO)
(352) 567-1087
Entity
Organization
Contact information
Practice address
14031 5TH ST, DODE CITY, FL 33525
(352) 518-2000
(352) 521-3091
Mailing address
PO BOX 232, DODE CITY, FL 33526-0232
(352) 518-2000
(352) 567-5193
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PH21294
FL
Other
Enumeration date
06/20/2006
Last updated
08/22/2020
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