MEDICARE: INFUCARE RX, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336H0001X	Home Infusion Therapy Pharmacy

General Provider Information

NPI Number	:	1003631821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFUCARE RX, LLC

Provider Business Mailing Address
First Line	:	PO BOX 2578
Second Line	:
City	:	SECAUCUS
State	:	NJ
Zip	:	07096-2578
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1959 W 9TH ST STE A
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-6440
Country	:	US
Telephone Number	:	800-499-6579
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DHARA PATEL
Credential	:
Telephone Number	:	877-828-3940

Provider Enumeration Date	:	11/18/2024
Last Update Date	:	11/18/2024

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