Organization
TAP RX LLC
Active
Other names
ProCare LTC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BINCY VARGHESE PHARM D (DIRECTOR OF COMPLIANCE)
(888) 741-0367
Entity
Organization
Contact information
Practice address
270 S SERVICE RD STE 25, MELVILLE, NY 11747-2399
(631) 843-0500
(631) 843-0500
Mailing address
1 OLYMPIC PL STE 600, TOWSON, MD 21204-4110
(888) 741-0367
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
028192
NY
3336L0003X
Long Term Care Pharmacy
Primary
028192
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028132
—
NY
01
—
3353719
NCPDP
NY
Enumeration date
03/27/2007
Last updated
06/07/2024
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