Organization
PHARMA CARE INC
Active
Other names
Tri County Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND MILES DORHOUT RPH (PRES)
(810) 659-5608
Entity
Organization
Contact information
Practice address
209 S CHERRY ST, ATTN TCMC, FLUSHING, MI 48433-2020
(810) 659-5608
(810) 659-6789
Mailing address
209 S CHERRY ST, ATTN TCMC, FLUSHING, MI 48433-2020
(810) 659-5608
(810) 659-6789
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
MI
332BN1400X
Nursing Facility Supplies (DME)
0412711001
MI
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
MI
332BX2000X
Oxygen Equipment & Supplies (DME)
—
MI
3336C0004X
Compounding Pharmacy
Primary
5301001966
MI
3336H0001X
Home Infusion Therapy Pharmacy
5301001966
MI
3336L0003X
Long Term Care Pharmacy
5301001966
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01002520
HEALTHPLUS OF MICHIGAN
MI
05
—
1802498
—
MI
05
—
1943960
—
MI
01
—
2311227
NCPDP
MI
01
—
540B50560
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/30/2007
Last updated
04/04/2008
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