# MEDICOR HEALTHCARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicor Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740697895
- **Authorized official:** DWIGHT COLSTON (PHARMACY MANAGER)
- **Authorized official phone:** (813) 930-8000

## Contact information

- **Practice address:** 3403 W WATERS AVE, TAMPA, FL 33614-2713
- **Practice address phone:** (813) 930-8000
- **Practice address fax:** (813) 930-8026
- **Mailing address:** 3403 W WATERS AVE, TAMPA, FL 33614-2713
- **Mailing address phone:** (813) 930-8000
- **Mailing address fax:** (813) 930-8026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PH26927 | FL | Yes |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/21/2014
- **Last updated:** 07/21/2014