MEDICARE: CARE PLUS PHARMACY 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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PP482409	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2143565	OTHER		PK

General Provider Information

NPI Number	:	1275954059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE PLUS PHARMACY INC

Provider Business Mailing Address
First Line	:	1251 S CEDAR CREST BLVD
Second Line	:	SUITE 104
City	:	ALLENTOWN
State	:	PA
Zip	:	18103-6205
Country	:	US
Telephone Number	:	484-223-0215
Fax Number	:	484-223-0211

Provider Business Practice Location Address
First Line	:	110 W SUSQUEHANNA AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19122-1715
Country	:	US
Telephone Number	:	215-423-4736
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MEMBER
Name	:	UMESH PATEL
Credential	:
Telephone Number	:	484-274-5428

Provider Enumeration Date	:	12/23/2013
Last Update Date	:	12/23/2013

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Directions to “CARE PLUS PHARMACY INC ” Practice Location

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