Healthcare Provider Details

I. General information

NPI: 1750496956
Provider Name (Legal Business Name): NATURE COAST PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 07/20/2021
Certification Date: 07/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4662 COMMERCIAL WAY
SPRING HILL FL
34606-1944
US

IV. Provider business mailing address

4662 COMMERCIAL WAY
SPRING HILL FL
34606-1944
US

V. Phone/Fax

Practice location:
  • Phone: 352-597-5757
  • Fax: 352-597-9595
Mailing address:
  • Phone: 352-597-5757
  • Fax: 352-597-9595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH22203
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH CRIMA
Title or Position: OWNER
Credential: RPH
Phone: 352-597-5757