Provider Demographics
NPI:1992248488
Name:PHARMCARE RX PHARMACY INC
Entity type:Organization
Organization Name:PHARMCARE RX PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:COULIBOLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-395-0034
Mailing Address - Street 1:5999 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-4101
Mailing Address - Country:US
Mailing Address - Phone:516-395-0034
Mailing Address - Fax:
Practice Address - Street 1:5999 BROADWAY
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-4101
Practice Address - Country:US
Practice Address - Phone:516-395-0034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-01
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy