Healthcare Provider Details

I. General information

NPI: 1487621892
Provider Name (Legal Business Name): PHARMA CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 S CHERRY ST
FLUSHING MI
48433
US

IV. Provider business mailing address

PO BOX 480
FLUSHING MI
48433
US

V. Phone/Fax

Practice location:
  • Phone: 810-659-5608
  • Fax: 810-659-6789
Mailing address:
  • Phone: 810-659-5608
  • Fax: 810-659-6789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number23D1009655
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberC
License Number StateMI

VIII. Authorized Official

Name: MR. RAYMOND MILES DORHOUT SR.
Title or Position: PHARMACISTS
Credential: RPH PRESIDENT
Phone: 810-659-5608