Organization
OXYCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CARSON (PRESIDENT)
(610) 658-0800
Entity
Organization
Contact information
Practice address
349 LANCASTER AVE, HAVERFORD, PA 19041-1500
(610) 658-0800
(610) 896-9135
Mailing address
349 LANCASTER AVE, HAVERFORD, PA 19041-1500
(610) 658-0800
(610) 896-9135
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP415536L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049822000
IBC PROVIDER NUMBER
PA
Enumeration date
12/22/2006
Last updated
03/16/2011
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