MEDICARE: SOFKO, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1063369247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOFKO, LLC

Provider Business Mailing Address
First Line	:	4900 LINTON BLVD STE 24
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6687
Country	:	US
Telephone Number	:	561-921-2030
Fax Number	:	888-715-8698

Provider Business Practice Location Address
First Line	:	4900 LINTON BLVD STE 24
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6687
Country	:	US
Telephone Number	:	561-921-2030
Fax Number	:	888-715-8698

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	PROKOPIOS PANAGAKOS
Credential	:
Telephone Number	:	561-921-2025

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

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Directions to “SOFKO, LLC ” Practice Location

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