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NPI Code Detail

MEDICARE: RECHARGE LLC

MEDICARE: RECHARGE 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
13336C0004XCompounding Pharmacy
2333600000XPharmacy

General Provider Information

NPI Number : 1962172213
Entity Type Code : Organization
Provider Name (Legal Business Name) : RECHARGE LLC
Provider Business Mailing Address
First Line : 47 SW 17TH ST STE B
Second Line :
City : OCALA
State : FL
Zip : 34471-8104
Country : US
Telephone Number : 352-512-9996
Fax Number : 866-622-5714
Provider Business Practice Location Address
First Line : 47 SW 17TH ST STE B
Second Line :
City : OCALA
State : FL
Zip : 34471-8104
Country : US
Telephone Number : 352-512-9996
Fax Number : 866-622-5714
Authorized Official
Title or Position : PIC
Name : MS. JEAN JONES
Credential :
Telephone Number : 352-512-9996
Provider Enumeration Date : 09/17/2021
Last Update Date : 02/01/2022

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Directions to “RECHARGE LLC ” Practice Location

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