Provider Demographics
NPI:1104047745
Name:PHARMACARE INC
Entity type:Organization
Organization Name:PHARMACARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:E
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:ROENTSCH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:603-357-0200
Mailing Address - Street 1:35 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3713
Mailing Address - Country:US
Mailing Address - Phone:603-357-0200
Mailing Address - Fax:603-357-3683
Practice Address - Street 1:35 MAIN ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3713
Practice Address - Country:US
Practice Address - Phone:603-357-0200
Practice Address - Fax:603-357-3683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH00043336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80877416Medicaid
NH3000255OtherNABP#
NH80877416Medicaid