MEDICARE: PHARMACARE PHARMACY

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

General Provider Information

NPI Number	:	1528352978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACARE PHARMACY

Provider Business Mailing Address
First Line	:	1460 WALTON BLVD
Second Line	:	SUITE # 90
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-1768
Country	:	US
Telephone Number	:	248-601-7000
Fax Number	:	248-601-7800

Provider Business Practice Location Address
First Line	:	1460 WALTON BLVD STE 90
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-1729
Country	:	US
Telephone Number	:	248-601-7000
Fax Number	:	248-601-7800

Authorized Official
Title or Position	:	PHARMACIST
Name	:	TASNIM HAQUE
Credential	:
Telephone Number	:	248-601-7000

Provider Enumeration Date	:	06/02/2011
Last Update Date	:	12/24/2020

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