Provider Demographics
NPI:1609265594
Name:HC PHARMACY LLC
Entity Type:Organization
Organization Name:HC PHARMACY LLC
Other - Org Name:HC PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMER
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHEHAITA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:863-547-6921
Mailing Address - Street 1:33048 HWY 27
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-7621
Mailing Address - Country:US
Mailing Address - Phone:863-547-6921
Mailing Address - Fax:863-547-6923
Practice Address - Street 1:33048 HWY 27
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-7621
Practice Address - Country:US
Practice Address - Phone:863-547-6921
Practice Address - Fax:863-547-6923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH283133336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy