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TREASURE COAST COMMUNITY HEALTH INC NPI 1992003099


NPI Information

NPI: 1992003099
Provider Name: TREASURE COAST COMMUNITY HEALTH INC

Doing Business As: TREASURE COAST COMMUNITY HEALTH, INC.

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
12196 COUNTY ROAD 512
FELLSMERE, FL
ZIP 32948
Phone: (772) 257-8224
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TREASURE COAST COMMUNITY HEALTH INC is a clinic pharmacy pharmacy in Fellsmere, FL. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. TREASURE COAST COMMUNITY HEALTH INC NPI is 1992003099. The provider is registered as an organization entity type.
The provider Is Doing Business As Treasure Coast Community Health, Inc..

The provider's business location address is:

12196 COUNTY ROAD 512
FELLSMERE, FL
ZIP 32948-463
Phone: (772) 257-8224
Fax: (772) 213-3157

The provider's authorized official is Vicki Soule .
The authorized official title is Ceo and has the following contact phone number (772) 257-8224.

The enumeration date for this NPI number is 3/14/2011 and was last updated on 3/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0002XPharmacyClinic PharmacyPH25316FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12129726OTHERPK
2003451200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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