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NPI Code Detail

MEDICARE: HOATC PHARMACY, LLC

MEDICARE: HOATC PHARMACY, LLC
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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1619806122
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOATC PHARMACY, LLC
Provider Business Mailing Address
First Line : 1801 SE HILLMOOR DR STE B-107
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34952-7550
Country : US
Telephone Number : 888-642-8208
Fax Number : 772-335-5619
Provider Business Practice Location Address
First Line : 1801 SE HILLMOOR DR STE B-107
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34952-7550
Country : US
Telephone Number : 888-642-8208
Fax Number : 772-335-5619
Authorized Official
Title or Position : OWNER
Name : HEATHER YECKES RODIN
Credential : MD
Telephone Number : 888-642-8208
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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Directions to “HOATC PHARMACY, LLC ” Practice Location

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