Organization
MEDCAP INVESTMENT GROUP LLC
Active
Other names
TOTAL CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTRA QURESHI (MANG PARTNER)
(305) 773-0334
Entity
Organization
Contact information
Practice address
1001 WYNMOOR CIRCLE, COCONUT CREEK, FL 33066
(954) 979-9771
(954) 979-9645
Mailing address
1301 AVE OF THE STARS, COCONUT CREEK, FL 33066
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034571
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/17/2008
Last updated
08/25/2009
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