# CAREMAX MEDICAL RESOURCES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235338211
- **Authorized official:** BRYANT MOSHANG (CONTROLLER)
- **Authorized official phone:** (410) 910-1500

## Contact information

- **Practice address:** 373 INVERNESS PKWY, SUITE 207, CENTENNIAL, CO 80112-5814
- **Practice address phone:** (303) 662-8383
- **Mailing address:** 13111 COLLECTION CENTER DR, CHICAGO, IL 60693-0131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PDO-679 | CO | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0620244 | NCPDP | CO |
| 05 | — | 60981393 | MEDICAID (PHARMACY) | CO |
| 01 | — | PDO-679 | PHARMACY LICENSE | CO |