Healthcare Provider Details
I. General information
NPI: 1104747872
Provider Name (Legal Business Name): HOME PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
717 W LANCASTER RD
ORLANDO FL
32809-5994
US
IV. Provider business mailing address
717 W LANCASTER RD
ORLANDO FL
32809-5994
US
V. Phone/Fax
- Phone: 407-636-0929
- Fax:
- Phone: 407-636-0929
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1835P0018X |
| Taxonomy | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOSEPH
MUROKA
Title or Position: PRESIDENT/CEO
Credential: PHARMD
Phone: 407-636-0929