Rural Health Care, Incorporated
Community/Retail Pharmacy
22066 Se 71st Ave, Hawthorne
Florida, 32640-3969
352-481-5640 352-481-5641
Rural Health Care, Incorporated is a Community/Retail Pharmacy in Hawthorne, Florida. It is located at 22066 Se 71st Ave, Hawthorne and it's customer support contact number is 352-481-5640. The authorized person of Rural Health Care, Incorporated is Larry W Pederson, AA,BA,BSP who is Vp/cpo of the pharmacy and his contact number is 386-328-0558. Active license number of Rural Health Care, Incorporated is PH0023758 for Community/Retail Pharmacy in Florida.
Rural Health Care, Incorporated 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:
Rural Health Care, Incorporated 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: | Rural Health Care, Incorporated |
| Type: | Community/Retail Pharmacy |
| Location: | 22066 Se 71st Ave, Hawthorne,
Florida, 32640-3969 |
| Phone: | 352-481-5640 |
| Fax: | 352-481-5641 |
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: | Larry W Pederson |
| Credentials: | AA,BA,BSP |
| Position: | Vp/cpo |
| Contact Number: | 386-328-0558 |
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: | 1528204419 |
| NPI Enumeration Date: | 23 Dec, 2008 |
| NPI Last Update On: | 07 Mar, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rural Health Care, Incorporated are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PH0023758 | Florida | Primary | |
| Pharmacy | PH23758 | Florida | Secondary | |
| Specialty 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 |
| 935 | Other | | Ncpdp Chain Code |
| 1041071 | Other | | Ncpdp |
| 000602300 | 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: | Po Box 817,
Palatka, Florida |
| Zip: | 32178-0817 |
| Phone Number: | 386-328-0558 |
| Fax Number: | 386-328-9443 |
Patients can reach Rural Health Care, Incorporated at
22066 Se 71st Ave, Hawthorne, Florida or can
call on customer care at 352-481-5640.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.