Organization
MED CARE PHARMACY INC
Active
Other names
MED CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEREL KERBY (PRESIDENT PHARMACIST)
(903) 645-5933
Entity
Organization
Contact information
Practice address
213 W SCURRY ST STE C, DAINGERFIELD, TX 75638-1661
(903) 645-5933
(903) 645-5934
Mailing address
PO BOX 715, DAINGERFIELD, TX 75638-0715
(903) 645-5933
(903) 645-5934
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
18845
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144587
—
TX
01
—
4599493
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/17/2006
Last updated
01/08/2010
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