Provider Demographics
NPI:1891319687
Name:HOLMES REGIONAL MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:HOLMES REGIONAL MEDICAL CENTER, INC.
Other - Org Name:HEALTH FIRST FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:ESROCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-434-7355
Mailing Address - Street 1:1425 MALABAR ROAD NE
Mailing Address - Street 2:HEALTH FIRST FAMILY PHARMACY MANAGER
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32907-2506
Mailing Address - Country:US
Mailing Address - Phone:321-434-7355
Mailing Address - Fax:
Practice Address - Street 1:1425 MALABAR ROAD NE
Practice Address - Street 2:HEALTH FIRST FAMILY PHARMACY - MANAGER
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32907-2506
Practice Address - Country:US
Practice Address - Phone:321-434-7355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-08
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy