MEDICARE: MEDICASCRIPTS PHARMACY

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	PH27292	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2143688	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427470780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICASCRIPTS PHARMACY

Provider Business Mailing Address
First Line	:	15511 N FLORIDA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-1263
Country	:	US
Telephone Number	:	813-968-0520
Fax Number	:	813-968-0482

Provider Business Practice Location Address
First Line	:	1551 N. FLORIDA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613
Country	:	US
Telephone Number	:	813-968-0520
Fax Number	:	813-968-0482

Authorized Official
Title or Position	:	PHARMACY DIRECTOR
Name	:	BHAVIK PATEL
Credential	:
Telephone Number	:	813-968-0520

Provider Enumeration Date	:	01/06/2014
Last Update Date	:	07/31/2014

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