Davita Medical Group is not a DME supplier for medicare equipments and products.
Davita Medical Group is a Community/Retail Pharmacy in Clearwater, Florida. This pharmacy is owned and operated by Optumcare Florida, Llc. It is located at 2465 N Mcmullen Booth Rd, Clearwater and it's customer support contact number is 727-724-0303. The authorized person of Davita Medical Group is John G. Liethen who is Secretary of the pharmacy and his contact number is 952-205-6262. Active license number of Davita Medical Group is PH13722 for Community/Retail Pharmacy in Florida. Davita Medical Group 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.
Pharmacy Details:
Davita Medical Group type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Davita Medical Group
Type:
Community/Retail Pharmacy
Location:
2465 N Mcmullen Booth Rd, Clearwater, Florida, 33759-1368
Phone:
727-724-0303
Fax:
727-791-4290
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
John G. Liethen
Position:
Secretary
Contact Number:
952-205-6262
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1790845923
NPI Enumeration Date:
11 Dec, 2006
NPI Last Update On:
19 Aug, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Davita Medical Group are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PH13722
Florida
Primary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
030841200
Medicaid
Florida
2009743
Other
Pk
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10051 5th Street N., St. Petersburg, Florida
Zip:
33702
Phone Number:
--
Fax Number:
--
Patients can reach Davita Medical Group at 2465 N Mcmullen Booth Rd, Clearwater, Florida or can call on customer care at 727-724-0303.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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