Healthcare Provider Details

I. General information

NPI: 1568123776
Provider Name (Legal Business Name): PHARMACY INVESTMENT COORDINATORS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2022
Last Update Date: 01/10/2022
Certification Date: 01/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 S HIGHWAY 71
WEWAHITCHKA FL
32465-4305
US

IV. Provider business mailing address

PO BOX 72188
ALBANY GA
31708-2188
US

V. Phone/Fax

Practice location:
  • Phone: 850-639-5065
  • Fax: 850-639-4077
Mailing address:
  • Phone: 229-435-4571
  • Fax: 229-435-7069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: THOMAS SHARPE
Title or Position: OWNER
Credential:
Phone: 229-345-4571