Organization
INFUCARE RX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHARA PATEL (OWNER)
(877) 828-3940
Entity
Organization
Contact information
Practice address
2540 MARKET ST, STE ONE, ASTON, PA 19014-3437
(877) 828-3940
Mailing address
PO BOX 2578, SECAUCUS, NJ 07096-2578
(877) 828-3940
(877) 828-3941
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
PP482586
PA
3336C0003X
Community/Retail Pharmacy
PP482586
PA
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PP482586
PA
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
PP482586
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103105312 0001
—
PA
01
—
PP482586
PHARMACY LICENSE NUMBER
PA
Enumeration date
09/23/2015
Last updated
12/20/2022
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