Healthcare Provider Details

I. General information

NPI: 1790326122
Provider Name (Legal Business Name): PHARMCO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2019
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 ANSIN BLVD STE B
HALLANDALE BEACH FL
33009-3104
US

IV. Provider business mailing address

400 ANSIN BLVD STE A
HALLANDALE BEACH FL
33009-3104
US

V. Phone/Fax

Practice location:
  • Phone: 305-919-7399
  • Fax:
Mailing address:
  • Phone: 305-760-2053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BIRUTE NORKUTE
Title or Position: VP OF HEALTHCARE OPERATIONS
Credential:
Phone: 305-919-7399