Organization
MEDICOR HEALTHCARE, INC
Active
Other names
Medicor Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT COLSTON (PHARMACY MANAGER)
(813) 930-8000
Entity
Organization
Contact information
Practice address
3403 W WATERS AVE, TAMPA, FL 33614-2713
(813) 930-8000
(813) 930-8026
Mailing address
3403 W WATERS AVE, TAMPA, FL 33614-2713
(813) 930-8000
(813) 930-8026
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH26927
FL
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144161
PK
—
Enumeration date
07/21/2014
Last updated
07/21/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us