Provider Demographics
NPI:1033528617
Name:EXCEL PHARMACY CARE LLC
Entity Type:Organization
Organization Name:EXCEL PHARMACY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:AYODELE
Authorized Official - Middle Name:
Authorized Official - Last Name:AYOOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-983-7101
Mailing Address - Street 1:2902 ORCHARD VIEW RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-4430
Mailing Address - Country:US
Mailing Address - Phone:443-983-7101
Mailing Address - Fax:
Practice Address - Street 1:3361 EXECUTIVE PKWY
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1377
Practice Address - Country:US
Practice Address - Phone:419-389-1020
Practice Address - Fax:419-389-1300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy