1578668331 NPI number — PHARMACARE DIRECT INC

Table of content: (NPI 1578668331)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578668331 NPI number — PHARMACARE DIRECT INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PHARMACARE DIRECT INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578668331
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PHARMACARE DIRECT INC
Provider Second Line Business Mailing Address:
695 GEORGE WASHINGTON HWY
Provider Business Mailing Address City Name:
LINCOLN
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02865
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6820 FAIRFIELD BUSINESS CTR
Provider Second Line Business Practice Location Address:
BUILDING E
Provider Business Practice Location Address City Name:
FAIRFIELD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45014-5476
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-881-6800
Provider Business Practice Location Address Fax Number:
513-881-6841
Provider Enumeration Date:
09/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ROMANI
Authorized Official First Name:
JEFF
Authorized Official Middle Name:
Authorized Official Title or Position:
PHCY DIRCT
Authorized Official Telephone Number:
513-881-6800

Provider Taxonomy Codes

  • Taxonomy code: 3336M0002X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3648992 . This is a "OTHER ID NUMBER-COMMERCIAL NUMBER" identifier . This identifiers is of the category "OTHER".




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