# COMMUNITY CARE RX LTC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COMMUNITY CARE RX LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437674173
- **Authorized official:** YANA PEKAREVA (OWNER)
- **Authorized official phone:** (267) 255-2116

## Contact information

- **Practice address:** 7601 CASTOR AVE STE 201, PHILADELPHIA, PA 19152-4026
- **Practice address phone:** (215) 722-2500
- **Practice address fax:** (215) 722-7700
- **Mailing address:** 7601 CASTOR AVE STE 201, PHILADELPHIA, PA 19152-4026
- **Mailing address phone:** (215) 722-2500
- **Mailing address fax:** (215) 722-7700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PP482773 | PA | Yes |

## Other

- **Enumeration date:** 08/03/2017
- **Last updated:** 02/13/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2170894 | PK | — |