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General NPI Number Information
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NPI Number | 1891214011
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Entity Type | Organization
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Legal Business Name | AMERICARE RX PHARMACY INC
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Dates
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Enumeration Date | 09/19/2017
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 4010 W. 15TH ST. STE 60
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City | PLANO
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State | TX
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Zip | 75093
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Country | US
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Telephone | 248-622-1821
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Fax |
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Provider Business Mailing Address
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Address Line | 4010 W. 15TH ST. STE 60
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City | PLANO
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State | TX
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Zip | 75093
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Country | US
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Telephone | 248-622-1821
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR/OFFICER
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Name | IGOR SEREDA
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Credential |
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Telephone | 818-217-5312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 31591
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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