# CARE HOME RX CORP

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

## Provider details

- **NPI number:** 1336539477
- **Authorized official:** MAHESH PYDIPATI (PRESIDENT)
- **Authorized official phone:** (734) 398-1035

## Contact information

- **Practice address:** 4603 S WAYNE RD, WAYNE, MI 48184-2310
- **Practice address phone:** (734) 398-1035
- **Practice address fax:** (734) 398-1769
- **Mailing address:** 4603 S WAYNE RD, WAYNE, MI 48184-2310
- **Mailing address phone:** (734) 398-1035
- **Mailing address fax:** (734) 398-1769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 5301010622 | MI | — |
| 3336L0003X | Long Term Care Pharmacy | 5301010622 | MI | Yes |

## Other

- **Enumeration date:** 01/28/2015
- **Last updated:** 10/05/2015