MEDICARE: SPECIALTY CARE PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3336S0011X	Specialty Pharmacy
2	3336C0004X	Compounding Pharmacy
3	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1023969995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIALTY CARE PHARMACY LLC

Provider Business Mailing Address
First Line	:	5915 MEMORIAL HWY STE 104
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-5008
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5915 MEMORIAL HWY STE 104
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-5008
Country	:	US
Telephone Number	:	813-290-7555
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	THUY LE
Credential	:
Telephone Number	:	813-290-7555

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	03/16/2026

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Directions to “SPECIALTY CARE PHARMACY LLC ” Practice Location

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