MEDICARE: CARE 1 RX LLC

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	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376263723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE 1 RX LLC

Provider Business Mailing Address
First Line	:	6204 W SILVER SPRING DR UNIT D
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53218-3155
Country	:	US
Telephone Number	:	414-335-4617
Fax Number	:

Provider Business Practice Location Address
First Line	:	6204 W SILVER SPRING DR UNIT D
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53218-3155
Country	:	US
Telephone Number	:	414-335-4617
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MOHAMED ELSHEIKH
Credential	:	RPH
Telephone Number	:	414-335-4617

Provider Enumeration Date	:	08/29/2022
Last Update Date	:	11/18/2022

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Directions to “CARE 1 RX LLC ” Practice Location

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