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NPI Code Detail

MEDICARE: CAINCARE, INC

MEDICARE: CAINCARE, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail PharmacyPHRE008559GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2PHRE008559OTHERGASTATE PHARMACY LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144207549
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAINCARE, INC
Provider Business Mailing Address
First Line : 1100 E WALNUT AVE
Second Line :
City : DALTON
State : GA
Zip : 30721-4183
Country : US
Telephone Number : 706-226-6000
Fax Number : 706-226-3786
Provider Business Practice Location Address
First Line : 1100 E WALNUT AVE
Second Line :
City : DALTON
State : GA
Zip : 30721-4183
Country : US
Telephone Number : 706-226-6000
Fax Number : 706-226-3786
Authorized Official
Title or Position : PHARMACIST/OWNER
Name : MR. TRACEY DAILEY
Credential : RPH
Telephone Number : 706-226-6000
Provider Enumeration Date : 12/27/2005
Last Update Date : 03/07/2023

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Directions to “CAINCARE, INC ” Practice Location

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