MEDICARE: MEDCARE, LLC

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	333600000X	Pharmacy	PW0224	MD

General Provider Information

NPI Number	:	1982665345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDCARE, LLC

Provider Business Mailing Address
First Line	:	14900 SWEITZER LN
Second Line	:	SUITE 103
City	:	LAUREL
State	:	MD
Zip	:	20707-2915
Country	:	US
Telephone Number	:	301-497-6171
Fax Number	:	301-497-6191

Provider Business Practice Location Address
First Line	:	14900 SWEITZER LN
Second Line	:	SUITE 103
City	:	LAUREL
State	:	MD
Zip	:	20707-2915
Country	:	US
Telephone Number	:	301-497-6171
Fax Number	:	301-497-6191

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MR. FARIBORZ ZARFESHAN
Credential	:	R.PH.
Telephone Number	:	30149756171

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	08/22/2020

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