Organization
PHARMCARE USA OF MEMPHIS, INC
Active
Other names
PHARM CARE INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARNEY KENT ABBOTT (PRESIDENT/CEO)
(866) 219-3619
Entity
Organization
Contact information
Practice address
3449 COBBLESTONE BLVD. S, SOUTHAVEN, MS 38672-7075
(662) 349-7151
(855) 674-1913
Mailing address
PO BOX 10, HYDRO, OK 73048
(866) 219-3619
(855) 674-1913
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
04760
MS
3336L0003X
Long Term Care Pharmacy
—
—
Other
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
Enumeration date
08/31/2006
Last updated
04/22/2024
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