Organization Name: | BREVARD PHARMACY LLC |
NPI Number: | 1467752691 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHANDRIKABEN PATEL (OWNER) |
Mailing Address: | 6250 N Us Highway 1 Cocoa |
State: | FL US |
Postal Code: | 329274926 |
Phone Number: | 3213056975 |
Fax Number: | 3213056978 |
NPI Enumeration Date: | 10/21/2010 |
NPI Last Update Date: | 11/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |