Provider Demographics
NPI:1932529823
Name:YOUR CARE PHARMACY CORP
Entity type:Organization
Organization Name:YOUR CARE PHARMACY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-288-0185
Mailing Address - Street 1:2492 WEBSTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-5509
Mailing Address - Country:US
Mailing Address - Phone:718-502-3070
Mailing Address - Fax:718-502-3071
Practice Address - Street 1:2492 WEBSTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-5509
Practice Address - Country:US
Practice Address - Phone:718-502-3070
Practice Address - Fax:718-502-3071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0327243336M0002X, 3336S0011X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy