Healthcare Provider Details

I. General information

NPI: 1497573588
Provider Name (Legal Business Name): EPIC CARE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2024
Last Update Date: 09/28/2024
Certification Date: 09/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3948 PEMBROKE RD STE D
HOLLYWOOD FL
33021-8114
US

IV. Provider business mailing address

1002 NW 139TH TER
PEMBROKE PINES FL
33028-2340
US

V. Phone/Fax

Practice location:
  • Phone: 954-963-2113
  • Fax: 954-963-2113
Mailing address:
  • Phone:
  • 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: ALVANETA OSBOURNE
Title or Position: MANAGING MEMBER
Credential:
Phone: 954-963-2113