Healthcare Provider Details

I. General information

NPI: 1871973966
Provider Name (Legal Business Name): CAREEQUIP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2015
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 ADAIR AVE
ZANESVILLE OH
43701
US

IV. Provider business mailing address

133 N MAYSVILLE AVE
ZANESVILLE OH
43701-6112
US

V. Phone/Fax

Practice location:
  • Phone: 740-868-8171
  • Fax: 740-868-8186
Mailing address:
  • Phone: 740-454-5666
  • Fax: 740-452-7563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number022514800
License Number StateOH

VIII. Authorized Official

Name: MATTHEW MADDEN
Title or Position: DIRECTOR
Credential:
Phone: 740-454-5666