Organization · Type 2 NPI

Treasure Coast Community Health Inc

Clinic Pharmacy · Fellsmere, FL

NPI number 1992003099 Active

Practice location

12196 County Road 512
Fellsmere, FL 32948-5463

Call (772) 257-8224 Map

Fax (772) 213-3157

Mailing address

1555 Indian River Blvd Ste B210
Vero Beach, FL 32960-7113

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Clinic Pharmacy Primary	3336C0002X	PH25316 (FL)

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

27 other providers at this address

NPI record

NPI: 1992003099
Entity type: Organization (Type 2)
Issued: Mar 14, 2011
Last updated: Mar 22, 2022
Status: Active
Subpart: Yes of Treasure Coast Community Health, Inc.

Other names

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Treasure Coast Community Health, Inc. · doing business as

Authorized official

Vicki Soule
CEO
(772) 257-8224

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 1992003099

Treasure Coast Community Health Inc's National Provider Identifier is 1992003099, issued on Mar 14, 2011. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Fellsmere, FL. The record was last updated on Mar 22, 2022.