# PHARMCARE USA OF MEMPHIS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PHARM CARE INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073625075
- **Authorized official:** MR. BARNEY KENT ABBOTT (PRESIDENT/CEO)
- **Authorized official phone:** (866) 219-3619

## Contact information

- **Practice address:** 3449 COBBLESTONE BLVD. S, SOUTHAVEN, MS 38672-7075
- **Practice address phone:** (662) 349-7151
- **Practice address fax:** (855) 674-1913
- **Mailing address:** PO BOX 10, HYDRO, OK 73048
- **Mailing address phone:** (866) 219-3619
- **Mailing address fax:** (855) 674-1913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 04760 | MS | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 04/22/2024

## 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 |