Provider Demographics
NPI:1992711519
Name:MEDCARE INC
Entity type:Organization
Organization Name:MEDCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:HALL
Authorized Official - Last Name:SHERRILL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:127-065-5615
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:42021-0277
Mailing Address - Country:US
Mailing Address - Phone:270-655-6151
Mailing Address - Fax:270-655-6301
Practice Address - Street 1:165 WALNUT HIGHWAY 51
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:KY
Practice Address - Zip Code:42021
Practice Address - Country:US
Practice Address - Phone:270-655-6151
Practice Address - Fax:270-655-6301
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDCARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-01
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP064183336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP06418OtherPHARMACY LICENSE
KYP06418OtherPHARMACY LICENSE