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NPI Code Detail

MEDICARE: CARE CENTRAL PHARMACY INC

MEDICARE: CARE CENTRAL PHARMACY 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
13336C0002XClinic Pharmacy054018859IL

General Provider Information

NPI Number : 1851797310
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE CENTRAL PHARMACY INC
Provider Business Mailing Address
First Line : 3445 N CENTRAL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-4420
Country : US
Telephone Number : 773-993-0235
Fax Number : 773-993-0560
Provider Business Practice Location Address
First Line : 3445 N CENTRAL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-4420
Country : US
Telephone Number : 773-993-0235
Fax Number : 773-993-0560
Authorized Official
Title or Position : PRESIDENT
Name : MR. PRASHANT PATEL
Credential :
Telephone Number : 773-993-0235
Provider Enumeration Date : 11/11/2014
Last Update Date : 11/11/2014

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Directions to “CARE CENTRAL PHARMACY INC ” Practice Location

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