MEDICARE: HOMECARE RX PHARMACY 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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1114885779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMECARE RX PHARMACY LLC

Provider Business Mailing Address
First Line	:	2000 S 19TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-2813
Country	:	US
Telephone Number	:	215-388-0068
Fax Number	:	215-388-4618

Provider Business Practice Location Address
First Line	:	2000 S 19TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-2813
Country	:	US
Telephone Number	:	215-388-0068
Fax Number	:	215-388-4618

Authorized Official
Title or Position	:	OWNER/PIC
Name	:	UYEN DO
Credential	:	PHARMD
Telephone Number	:	714-914-0358

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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