Provider Demographics
NPI:1316431794
Name:REMCARE PHARMACY INC
Entity type:Organization
Organization Name:REMCARE PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:AJAYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-422-9635
Mailing Address - Street 1:PO BOX 542192
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-2192
Mailing Address - Country:US
Mailing Address - Phone:972-896-0631
Mailing Address - Fax:817-422-9636
Practice Address - Street 1:306 E RANDOL MILL RD STE 500
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-1409
Practice Address - Country:US
Practice Address - Phone:817-422-9635
Practice Address - Fax:817-422-9636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-19
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32035333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy