Provider Demographics
NPI:1063658789
Name:CARING PHARMACY LLC
Entity Type:Organization
Organization Name:CARING PHARMACY LLC
Other - Org Name:CARING PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:TRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VUONG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:770-807-0395
Mailing Address - Street 1:4897 BUFORD HWY NE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341
Mailing Address - Country:US
Mailing Address - Phone:770-807-0395
Mailing Address - Fax:770-710-0152
Practice Address - Street 1:4897 BUFORD HWY STE 100
Practice Address - Street 2:SUITE 100
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-3667
Practice Address - Country:US
Practice Address - Phone:770-807-0395
Practice Address - Fax:770-710-0152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-30
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
GAPHRE0095203336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA405362968AMedicaid
2169961OtherPK