# ULTRACARE PHARMACY, INC

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

## Provider details

- **NPI number:** 1679635718
- **Authorized official:** ROBERT TIONGSON BATUNGBACAL (MANAGER)
- **Authorized official phone:** (702) 597-0518

## Contact information

- **Practice address:** 2545 CHANDLER AVE STE 11, LAS VEGAS, NV 89120-4008
- **Practice address phone:** (702) 597-0518
- **Practice address fax:** (702) 597-0519
- **Mailing address:** 2545 CHANDLER AVE STE 11, LAS VEGAS, NV 89120-4008
- **Mailing address phone:** (702) 597-0518
- **Mailing address fax:** (702) 597-0519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NV | — |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NV | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 09/11/2025