MEDICARE: PHARMACY INVESTMENT COORDINATORS, 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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295496404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACY INVESTMENT COORDINATORS, INC

Provider Business Mailing Address
First Line	:	PO BOX 72188
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31708-2188
Country	:	US
Telephone Number	:	229-435-4571
Fax Number	:	229-435-7069

Provider Business Practice Location Address
First Line	:	11049 NW STATE ROAD 20
Second Line	:
City	:	BRISTOL
State	:	FL
Zip	:	32321-6406
Country	:	US
Telephone Number	:	850-643-5454
Fax Number	:	850-643-5573

Authorized Official
Title or Position	:	OWNER
Name	:	THOMAS SHARPE
Credential	:
Telephone Number	:	229-345-4571

Provider Enumeration Date	:	01/10/2022
Last Update Date	:	01/10/2022

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