MEDICARE: PHARMA CARE 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	291U00000X	Clinical Medical Laboratory	23D1009655	MI
2	333600000X	Pharmacy	C	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2311227	OTHER	MI	NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	540B50560	OTHER	MI	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1487621892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMA CARE INC

Provider Business Mailing Address
First Line	:	PO BOX 480
Second Line	:
City	:	FLUSHING
State	:	MI
Zip	:	48433
Country	:	US
Telephone Number	:	810-659-5608
Fax Number	:	810-659-6789

Provider Business Practice Location Address
First Line	:	209 S CHERRY ST
Second Line	:
City	:	FLUSHING
State	:	MI
Zip	:	48433
Country	:	US
Telephone Number	:	810-659-5608
Fax Number	:	810-659-6789

Authorized Official
Title or Position	:	PHARMACISTS
Name	:	MR. RAYMOND MILES DORHOUT SR.
Credential	:	RPH PRESIDENT
Telephone Number	:	810-659-5608

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	07/21/2022

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Directions to “PHARMA CARE INC ” Practice Location

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