Healthcare Provider Details

I. General information

NPI: 1396842233
Provider Name (Legal Business Name): CARE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 N FRASER ST
GEORGETOWN SC
29440-3353
US

IV. Provider business mailing address

718 N FRASER ST
GEORGETOWN SC
29440-3353
US

V. Phone/Fax

Practice location:
  • Phone: 843-545-9292
  • Fax: 843-520-4345
Mailing address:
  • Phone: 843-545-9292
  • Fax: 843-520-4345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number6749
License Number StateSC

VIII. Authorized Official

Name: JOHN A ELLIS
Title or Position: OWNER
Credential:
Phone: 843-545-9292