Healthcare Provider Details
I. General information
NPI: 1558343517
Provider Name (Legal Business Name): PHARMACARE SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/16/2005
Last Update Date: 05/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5555 GLENRIDGE CONNECTOR NE SUITE 200
ATLANTA GA
30342-4759
US
IV. Provider business mailing address
5555 GLENRIDGE CONNECTOR NE SUITE 200
ATLANTA GA
30342-4759
US
V. Phone/Fax
- Phone: 404-459-2847
- Fax: 404-459-6001
- Phone: 404-459-2847
- Fax: 404-459-6001
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835P1200X |
| Taxonomy | Pharmacotherapy Pharmacist |
| License Number | RPH019901 |
| License Number State | GA |
VIII. Authorized Official
Name: DR.
CASSANDRA
G.
TANCIL
Title or Position: PRESIDENT/CEO
Credential: PHARM.D., BCPS
Phone: 404-459-2847