MEDICARE: HEALTH CARE 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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	030993	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2133040	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659649192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CARE PHARMACY LLC

Provider Business Mailing Address
First Line	:	1437 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-2330
Country	:	US
Telephone Number	:	716-676-6731
Fax Number	:	718-676-6733

Provider Business Practice Location Address
First Line	:	1437 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-2330
Country	:	US
Telephone Number	:	716-676-6731
Fax Number	:	718-676-6733

Authorized Official
Title or Position	:	OWNER
Name	:	JEAN ROMELUS
Credential	:
Telephone Number	:	718-676-6731

Provider Enumeration Date	:	12/12/2011
Last Update Date	:	10/30/2014

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