MEDICARE: MED CARE PHARMACEUTICALS INC

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	3336C0003X	Community/Retail Pharmacy	PH22699	FL

General Provider Information

NPI Number	:	1013115799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED CARE PHARMACEUTICALS INC

Provider Business Mailing Address
First Line	:	347 PALM AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4715
Country	:	US
Telephone Number	:	305-889-0817
Fax Number	:	305-889-1188

Provider Business Practice Location Address
First Line	:	347 PALM AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4715
Country	:	US
Telephone Number	:	305-889-0817
Fax Number	:	305-889-1188

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANDRES RODRIGUEZ
Credential	:
Telephone Number	:	305-889-0817

Provider Enumeration Date	:	07/05/2007
Last Update Date	:	03/18/2009

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