Healthcare Provider Details
I. General information
NPI: 1487651808
Provider Name (Legal Business Name): PHARMCARE COACH CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7618 140TH ST
SEMINOLE FL
33776-3711
US
IV. Provider business mailing address
7618 140TH ST
SEMINOLE FL
33776-3711
US
V. Phone/Fax
- Phone: 727-798-3996
- Fax: 727-391-6006
- Phone: 727-798-3996
- Fax: 727-391-6006
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
VICTORIA
PROCOPION
STEIN
Title or Position: PRESIDENT
Credential: PHARM. D.
Phone: 727-798-3996