MEDICARE: CARE RX 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	3336C0003X	Community/Retail Pharmacy	PHY48955	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2118054	OTHER		PK

General Provider Information

NPI Number	:	1568608214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE RX INC

Provider Business Mailing Address
First Line	:	5065 EL CAJON BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-3348
Country	:	US
Telephone Number	:	619-501-8046
Fax Number	:	619-501-4997

Provider Business Practice Location Address
First Line	:	5065 EL CAJON BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-3348
Country	:	US
Telephone Number	:	619-501-8046
Fax Number	:	619-501-4997

Authorized Official
Title or Position	:	PHARMACIST
Name	:	KALYNN VUONG
Credential	:
Telephone Number	:	619-501-8046

Provider Enumeration Date	:	12/31/2008
Last Update Date	:	01/13/2016

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Directions to “CARE RX INC ” Practice Location

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