Healthcare Provider Details

I. General information

NPI: 1164555033
Provider Name (Legal Business Name): CARE PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 ORANGE
ORANGE GROVE TX
78372-1377
US

IV. Provider business mailing address

PO BOX 1377
ORANGE GROVE TX
78372-1377
US

V. Phone/Fax

Practice location:
  • Phone: 361-384-3090
  • Fax: 361-384-0142
Mailing address:
  • Phone: 361-384-3090
  • Fax: 361-384-0142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. DENNIS L CRAWFORD
Title or Position: OWNER
Credential:
Phone: 361-384-3090