MEDICARE: PHARMACARE LTD

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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1477131092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACARE LTD

Provider Business Mailing Address
First Line	:	PO BOX 364
Second Line	:
City	:	AUGUSTA
State	:	WI
Zip	:	54722-0364
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	153 W LINCOLN ST
Second Line	:
City	:	AUGUSTA
State	:	WI
Zip	:	54722-9152
Country	:	US
Telephone Number	:	715-286-2515
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	BRANDIN HENKE
Credential	:
Telephone Number	:	715-833-6770

Provider Enumeration Date	:	04/02/2021
Last Update Date	:	04/02/2021

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Directions to “PHARMACARE LTD ” Practice Location

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