MEDICARE: PHARMCO, 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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1639881790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMCO, LLC

Provider Business Mailing Address
First Line	:	400 ANSIN BLVD STE A
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-3104
Country	:	US
Telephone Number	:	305-919-7399
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 ANSIN BLVD STE A
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-3104
Country	:	US
Telephone Number	:	305-919-7399
Fax Number	:	305-919-7424

Authorized Official
Title or Position	:	VP OF HEALTHCARE OPERATIONS
Name	:	BIRUTE NORKUTE
Credential	:
Telephone Number	:	305-919-7399

Provider Enumeration Date	:	12/20/2022
Last Update Date	:	10/23/2025

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