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Organization

MED-A-CARE LLC

Active
Other names
MEDPHARM PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ELIAS KABOUS RPH (OWNER)
(812) 232-2086
Entity
Organization

Contact information

Practice address
2723 S 7TH ST, SUITE N, TERRE HAUTE, IN 47802-3584
(812) 232-2086
(812) 234-9103
Mailing address
2723 S 7TH ST, SUITE N, TERRE HAUTE, IN 47802-3584
(812) 232-2086
(812) 234-9103

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
60005931A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200806110A
IN
01
2025365
PK
Enumeration date
07/10/2006
Last updated
02/15/2017
About Stedi
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