Provider Demographics
NPI:1245747328
Name:PHARMCARE USA OF FLORIDA LLC
Entity Type:Organization
Organization Name:PHARMCARE USA OF FLORIDA LLC
Other - Org Name:PHARMCARE USA OF SARASOTA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENT
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-219-3619
Mailing Address - Street 1:PO BOX 12
Mailing Address - Street 2:
Mailing Address - City:HYDRO
Mailing Address - State:OK
Mailing Address - Zip Code:73048-0012
Mailing Address - Country:US
Mailing Address - Phone:866-219-3619
Mailing Address - Fax:877-505-7999
Practice Address - Street 1:1725 20TH ST E
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-3277
Practice Address - Country:US
Practice Address - Phone:941-366-0090
Practice Address - Fax:559-370-7918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-10
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
FLPH311073336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2175160OtherPK