Healthcare Provider Details
I. General information
NPI: 1598175333
Provider Name (Legal Business Name): PHARMACARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2014
Last Update Date: 05/12/2021
Certification Date: 05/12/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9408 SW 87TH AVE STE 105
MIAMI FL
33176-2416
US
IV. Provider business mailing address
8008 SW 81ST DR
MIAMI FL
33143-6609
US
V. Phone/Fax
- Phone: 305-274-8955
- Fax: 305-200-3783
- Phone: 305-274-8955
- Fax: 305-230-7717
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PH28096 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | PH28096 |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
LUIS
OCTAVIO
DELGADO
Title or Position: PRESIDENT / PHARMACIST IN CHARGE
Credential: PHARM.D.
Phone: 786-512-8258