MEDICARE: RX CARE PHARMACIES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PCY.1847	CT
2	333600000X	Pharmacy	PCY. 1847	CT
3	332B00000X	Durable Medical Equipment & Medical Supplies	PCY. 1847	CT
4	3336L0003X	Long Term Care Pharmacy	PCY. 1847	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588660245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RX CARE PHARMACIES, INC

Provider Business Mailing Address
First Line	:	91 WILLENBROCK RD STE B1
Second Line	:
City	:	OXFORD
State	:	CT
Zip	:	06478-1036
Country	:	US
Telephone Number	:	203-262-6860
Fax Number	:	203-262-8765

Provider Business Practice Location Address
First Line	:	91 WILLENBROCK RD STE B1
Second Line	:
City	:	OXFORD
State	:	CT
Zip	:	06478-1036
Country	:	US
Telephone Number	:	203-262-6860
Fax Number	:	203-262-8765

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAROSLAW PALYLYK
Credential	:	R. PH
Telephone Number	:	203-262-6860

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	02/01/2008

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Directions to “RX CARE PHARMACIES, INC ” Practice Location

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