MEDICARE: SYMCARE 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	3336C0003X	Community/Retail Pharmacy	PH24892	FL

General Provider Information

NPI Number	:	1710296132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYMCARE INC

Provider Business Mailing Address
First Line	:	5779 S UNIVERSITY DR
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33328-6114
Country	:	US
Telephone Number	:	954-530-4808
Fax Number	:

Provider Business Practice Location Address
First Line	:	5779 SOUTH UNIVERSITY DR
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33328
Country	:	US
Telephone Number	:	954-530-4808
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	MR. DIMEJI LAWAL
Credential	:	B.SC HARMACY
Telephone Number	:	954-530-4808

Provider Enumeration Date	:	10/04/2010
Last Update Date	:	10/04/2010

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