Provider Demographics
NPI:1033750021
Name:PHARMCARE USA OF NORTH CAROLINA, LLC
Entity Type:Organization
Organization Name:PHARMCARE USA OF NORTH CAROLINA, LLC
Other - Org Name:PHARMCARE USA OF RALEIGH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BARNEY
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-219-3619
Mailing Address - Street 1:PO BOX 12
Mailing Address - Street 2:
Mailing Address - City:HYDRO
Mailing Address - State:OK
Mailing Address - Zip Code:73048-0012
Mailing Address - Country:US
Mailing Address - Phone:919-823-4850
Mailing Address - Fax:877-505-7999
Practice Address - Street 1:700 PONY RD STE A
Practice Address - Street 2:
Practice Address - City:ZEBULON
Practice Address - State:NC
Practice Address - Zip Code:27597-2656
Practice Address - Country:US
Practice Address - Phone:919-823-4850
Practice Address - Fax:877-505-7999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-01
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy