Organization
MEDICAL TECHNOLOGY TRANSFER CORPORATION
Active
Other names
Harris Family Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE MICHELLE SHAW PHARM. D. (DIRECTOR OF PHARMACY)
(321) 726-1614
Entity
Organization
Contact information
Practice address
1800 W HIBISCUS BLVD, SUITE 101, MELBOURNE, FL 32901-2629
(321) 726-1614
(321) 726-1611
Mailing address
1800 W HIBISCUS BLVD, SUITE 101, MELBOURNE, FL 32901-2629
(321) 726-1614
(321) 726-1611
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH15653
FL
Other
Enumeration date
12/16/2005
Last updated
04/25/2019
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