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General NPI Number Information
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NPI Number | 1629341177
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Entity Type | Organization
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Legal Business Name | CAREMARK, LLC
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1780 WALL STREET
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City | MT. PROSPEC
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State | IL
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Zip | 60056
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Country | US
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Telephone | 847-634-7959
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Fax | 909-799-4364
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Provider Business Mailing Address
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Address Line | 1780 WALL ST
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City | MT PROSPECT
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State | IL
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Zip | 60056-5790
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Country | US
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Telephone | 847-634-7959
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRANDON AYCOCK
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Credential |
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Telephone | 401-770-3303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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