| Southwest Health Center Pharmacy | |
|
5325 26th St W Bradenton FL 34207-3012 | |
| (941) 216-4400 | |
| (941) 216-4434 |
| Full Name | Southwest Health Center Pharmacy |
|---|---|
| Speciality | Pharmacy |
| Location | 5325 26th St W, Bradenton, Florida |
| Authorized Official Name and Position | Melvin Price (PRESIDENT AND CEO) |
| Authorized Official Contact | 9417764000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Health Center Pharmacy 101 Riverfront Blvd Ste 710 Bradenton FL 34205-8812 Ph: (941) 776-4000 | Southwest Health Center Pharmacy 5325 26th St W Bradenton FL 34207-3012 Ph: (941) 216-4400 |
| NPI Number | 1477994853 |
|---|---|
| Provider Enumeration Date | 07/12/2013 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 7214847995 |
|---|---|
| Medicare Enrollment ID | O20190208000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477994853 | NPI | - | NPPES |
| 25104000 | Medicaid | FL | |
| 0295612XX | Other | FL | FFS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 333600000X | Pharmacy | PH31356 (Florida) | Primary |
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