Healthcare Provider Details

I. General information

NPI: 1851338230
Provider Name (Legal Business Name): HCI SPECIALTY PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8320 NW 30TH TER
DORAL FL
33122-1915
US

IV. Provider business mailing address

8320 NW 30TH TER
DORAL FL
33122-1915
US

V. Phone/Fax

Practice location:
  • Phone: 866-345-4424
  • Fax:
Mailing address:
  • Phone: 866-345-4424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH20875
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberPH20875
License Number StateFL

VIII. Authorized Official

Name: MR. WALTER R SHIKANY
Title or Position: MEMBER
Credential:
Phone: 866-345-4424