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NPI Code Detail

MEDICARE: PHARMA-CARE, INC.

MEDICARE: PHARMA-CARE, 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
1333600000XPharmacy28R101261000NJ

General Provider Information

NPI Number : 1871564310
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHARMA-CARE, INC.
Provider Business Mailing Address
First Line : 136 CENTRAL AVE
Second Line :
City : CLARK
State : NJ
Zip : 07066-1142
Country : US
Telephone Number : 732-574-9015
Fax Number : 732-499-6778
Provider Business Practice Location Address
First Line : 136 CENTRAL AVE
Second Line :
City : CLARK
State : NJ
Zip : 07066-1142
Country : US
Telephone Number : 732-574-9015
Fax Number : 732-499-6778
Authorized Official
Title or Position : CEO
Name : HARLAN MARTIN
Credential : RPH, CCP, FASCP
Telephone Number : 732-574-9015
Provider Enumeration Date : 02/01/2006
Last Update Date : 01/21/2010

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Directions to “PHARMA-CARE, INC. ” Practice Location

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