Organization
C.A.R.E. PHARMACY, LLC
Active
Other names
C.A.R.E. Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY JOHNSON (OPERATIONS OFFICER)
(208) 220-8599
Entity
Organization
Contact information
Practice address
13660 N 94TH DR STE D1, PEORIA, AZ 85381-4836
(623) 974-0522
(623) 933-5787
Mailing address
13660 N 94TH DR STE F1, PEORIA, AZ 85381-4232
(623) 974-0522
(623) 933-5787
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y007457
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175953
PK
—
Enumeration date
02/17/2018
Last updated
10/17/2019
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