MEDICARE: WC NETWORK 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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1326886565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WC NETWORK LLC

Provider Business Mailing Address
First Line	:	1916 GULF TO BAY BLVD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-3537
Country	:	US
Telephone Number	:	727-738-0249
Fax Number	:	727-761-7537

Provider Business Practice Location Address
First Line	:	1916 GULF TO BAY BLVD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-3537
Country	:	US
Telephone Number	:	727-738-0249
Fax Number	:	727-761-7537

Authorized Official
Title or Position	:	OWNER
Name	:	MOHANNAD SHAHIN
Credential	:
Telephone Number	:	727-421-5922

Provider Enumeration Date	:	07/19/2024
Last Update Date	:	01/29/2026

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