NPI: 1245390475
Provider Name: OPTUMCARE FLORIDA, LLC
Doing Business As: DAVITA MEDICAL GROUP, PHARMACY
Classification: Pharmacy - 3336C0003X
Entity Type: Organization
Specialization: Community/Retail Pharmacy
CLIA Number: 10D0932062
Address:
3665 W WATERS AVE
TAMPA, FL
ZIP 33614
Phone: (813) 935-6431
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OPTUMCARE FLORIDA, LLC is a community/retail pharmacy pharmacy in Tampa, FL. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. OPTUMCARE FLORIDA, LLC NPI is 1245390475. The provider is registered as an organization entity type.
The provider Is Doing Business As Davita Medical Group, Pharmacy.
The provider's business location address is:
3665 W WATERS AVE
TAMPA, FL
ZIP 33614-783
Phone: (813) 935-6431
Fax: (813) 915-0741
The provider's authorized official is John G. Liethen .
The authorized official title is Secretary and has the following contact phone number (952) 205-6262.
The CLIA number assigned to this NPI record is 10D0932062 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/20/2019.