Davita Medical Group, Pharmacy is not a DME supplier for medicare equipments and products.
Davita Medical Group, Pharmacy is a Community/Retail Pharmacy in Tampa, Florida. This pharmacy is owned and operated by Optumcare Florida, Llc. It is located at 3665 W Waters Ave, Tampa and it's customer support contact number is 813-935-6431. The authorized person of Davita Medical Group, Pharmacy 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, Pharmacy is PH18512 for Community/Retail Pharmacy in Florida. Davita Medical Group, Pharmacy 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, Pharmacy 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, Pharmacy
Type:
Community/Retail Pharmacy
Location:
3665 W Waters Ave, Tampa, Florida, 33614-2783
Phone:
813-935-6431
Fax:
813-915-0741
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:
1245390475
NPI Enumeration Date:
11 Dec, 2006
NPI Last Update On:
20 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, Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PH18512
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
2014551
Other
Pk
4399230005
Medicaid
Florida
030842100
Medicaid
Florida
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 St. N, St. Petersburg, Florida
Zip:
33702-2289
Phone Number:
727-828-2314
Fax Number:
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Patients can reach Davita Medical Group, Pharmacy at 3665 W Waters Ave, Tampa, Florida or can call on customer care at 813-935-6431.
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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