Organization · Type 2 NPI

Crayton Mitchell Group

Community/Retail Pharmacy · Rockledge, FL

NPI number 1851750178 Active

Practice location

197 Bougainvillea Dr Ste D
Rockledge, FL 32955-2402

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	PH29873 (FL)
Customized Equipment (DME)	332BC3200X	PH29873 (FL)
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PH29873 (FL)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1851750178
Entity type: Organization (Type 2)
Issued: Feb 15, 2016
Last updated: Jan 28, 2020
Status: Active

Other names

<unavail>
Space Coast Community Pharmacy · doing business as
Space Coast Community Pharmacy · doing business as

Authorized official

Traci Mitchell
Owner
(321) 636-2275

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1851750178

Crayton Mitchell Group's National Provider Identifier is 1851750178, issued on Feb 15, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Rockledge, FL. The record was last updated on Jan 28, 2020.