Healthcare Provider Details

I. General information

NPI: 1649262502
Provider Name (Legal Business Name): KARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2005
Last Update Date: 03/31/2020
Certification Date: 03/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 LLANO ST.
AZTEC NM
87410
US

IV. Provider business mailing address

100 LLANO ST.
AZTEC NM
87410
US

V. Phone/Fax

Practice location:
  • Phone: 505-334-6411
  • Fax: 505-334-7187
Mailing address:
  • Phone: 505-334-6411
  • Fax: 505-334-7187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY Q SEYFARTH
Title or Position: PHARMD/OWNER
Credential: PHARMD
Phone: 505-334-6411