Healthcare Provider Details

I. General information

NPI: 1164626842
Provider Name (Legal Business Name): CARE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 MEMORIAL LN
GEORGETOWN SC
29440-3311
US

IV. Provider business mailing address

1111 MEMORIAL LN
GEORGETOWN SC
29440-3311
US

V. Phone/Fax

Practice location:
  • Phone: 843-545-9292
  • Fax:
Mailing address:
  • Phone: 843-545-9292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number50006749
License Number StateSC

VIII. Authorized Official

Name: MR. RAYMOND CURTIS PASCHAL
Title or Position: MEMBER
Credential: R.PH.
Phone: 843-545-9292