MEDICARE: PHARMA 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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PH24527	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2124247	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639408685
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMA LLC

Provider Business Mailing Address
First Line	:	3023 US HWY 27 NORTH
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-9998
Country	:	US
Telephone Number	:	863-471-0007
Fax Number	:	863-658-2417

Provider Business Practice Location Address
First Line	:	3023 US HWY 27 NORTH
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-9998
Country	:	US
Telephone Number	:	863-471-0007
Fax Number	:	863-658-2417

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. PINAL SHAH
Credential	:
Telephone Number	:	863-417-0007

Provider Enumeration Date	:	12/21/2009
Last Update Date	:	02/13/2026

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Directions to “PHARMA LLC ” Practice Location

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