MEDICARE: PHARMCARE COACH CONSULTANTS 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	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1487651808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMCARE COACH CONSULTANTS INC

Provider Business Mailing Address
First Line	:	7618 140TH ST
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33776-3711
Country	:	US
Telephone Number	:	727-798-3996
Fax Number	:	727-391-6006

Provider Business Practice Location Address
First Line	:	7618 140TH ST
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33776-3711
Country	:	US
Telephone Number	:	727-798-3996
Fax Number	:	727-391-6006

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. VICTORIA PROCOPION STEIN
Credential	:	PHARM. D.
Telephone Number	:	727-798-3996

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	07/21/2022

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