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NPI Code Detail

MEDICARE: PATIENT CARE PHARMACY SERVICES INC

MEDICARE: PATIENT CARE PHARMACY SERVICES 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
1333600000XPharmacy
23336L0003XLong Term Care PharmacyPH17469FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22013630OTHERPK

General Provider Information

NPI Number : 1457423972
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATIENT CARE PHARMACY SERVICES INC
Provider Business Mailing Address
First Line : 1476 MARKET CIR
Second Line : UNIT 1
City : PORT CHARLOTTE
State : FL
Zip : 33953-3876
Country : US
Telephone Number : 941-255-1987
Fax Number : 941-629-5507
Provider Business Practice Location Address
First Line : 1476 MARKET CIR
Second Line : UNIT 1
City : PORT CHARLOTTE
State : FL
Zip : 33953-3876
Country : US
Telephone Number : 941-255-1987
Fax Number : 941-629-5507
Authorized Official
Title or Position : OWNER
Name : MICHAEL KLEIN
Credential :
Telephone Number : 941-255-1987
Provider Enumeration Date : 11/14/2006
Last Update Date : 04/17/2013

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Directions to “PATIENT CARE PHARMACY SERVICES INC ” Practice Location

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