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Organization
PHARMCARE USA OF MEMPHIS, INC
Active
Organization
PHARMCARE USA OF MEMPHIS, INC
Active
Other names
PHARM CARE INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARNEY KENT ABBOTT (PRESIDENT/CEO)
(866) 219-3619
Entity
Organization
Contact information
Practice address
3449 COBBLESTONE BLVD. S, SOUTHAVEN, MS 38672-7075
(662) 349-7151
(855) 674-1913
Mailing address
PO BOX 10, HYDRO, OK 73048
(866) 219-3619
(855) 674-1913
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
04760
MS
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030502
MEDICAID
MS
05
—
00030502
—
MS
05
—
00440753
—
MS
05
—
145455407
—
AR
05
—
197606716
—
AR
01
—
2045940
PK
—
05
—
3547793
—
TN
05
—
357793
—
TN
Enumeration date
08/31/2006
Last updated
04/22/2024
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