Healthcare Provider Details

I. General information

NPI: 1588660245
Provider Name (Legal Business Name): RX CARE PHARMACIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 02/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 WILLENBROCK RD STE B1
OXFORD CT
06478-1036
US

IV. Provider business mailing address

91 WILLENBROCK RD STE B1
OXFORD CT
06478-1036
US

V. Phone/Fax

Practice location:
  • Phone: 203-262-6860
  • Fax: 203-262-8765
Mailing address:
  • Phone: 203-262-6860
  • Fax: 203-262-8765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPCY.1847
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPCY. 1847
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPCY. 1847
License Number StateCT
# 4
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPCY. 1847
License Number StateCT

VIII. Authorized Official

Name: MR. JAROSLAW PALYLYK
Title or Position: PRESIDENT
Credential: R. PH
Phone: 203-262-6860