MEDICARE: SPECIALTY CARE RX LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	333600000X	Pharmacy
2	3336H0001X	Home Infusion Therapy Pharmacy
3	3336S0011X	Specialty Pharmacy
4	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1588115877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIALTY CARE RX LLC

Provider Business Mailing Address
First Line	:	200 E KATELLA AVE STE C
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92867-4805
Country	:	US
Telephone Number	:	949-506-1300
Fax Number	:	866-511-4654

Provider Business Practice Location Address
First Line	:	150 COLLINS ST
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38112-3814
Country	:	US
Telephone Number	:	901-443-2500
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	JEFFREY GRIFFITH
Credential	:
Telephone Number	:	949-506-1300

Provider Enumeration Date	:	10/20/2016
Last Update Date	:	10/09/2024

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Directions to “SPECIALTY CARE RX LLC ” Practice Location

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