| NPI | 1740697895 |
|---|---|
| Doing Business As | MEDICOR HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | DWIGHT COLSTON Pharmacy Manager 813-930-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH26927) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |