Organization
CARE PHARMACCYLLC
Active
Other names
care pharmaccyllc
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL GERSTEIN (PIC)
(314) 997-3740
Entity
Organization
Contact information
Practice address
777 CRAIG RD, SUITE 135A, CREVE COEUR, MO 63141-7138
(314) 997-3740
(314) 997-3742
Mailing address
777 CRAIG RD, SUITE 135A, CREVE COEUR, MO 63141-7138
(314) 997-3740
(314) 997-3742
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2011012258
MO
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2639699
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/16/2011
Last updated
05/16/2011
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