Provider Demographics
NPI:1093897886
Name:PLUSCARE LLC
Entity Type:Organization
Organization Name:PLUSCARE LLC
Other - Org Name:PLUSCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHORES
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:989-872-2075
Mailing Address - Street 1:319 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:CARO
Mailing Address - State:MI
Mailing Address - Zip Code:48723-1537
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6263 CHURCH ST
Practice Address - Street 2:
Practice Address - City:CASS CITY
Practice Address - State:MI
Practice Address - Zip Code:48726-1111
Practice Address - Country:US
Practice Address - Phone:989-872-2075
Practice Address - Fax:989-872-5378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MI53010085413336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2353718OtherOTHER ID NUMBER
2353718OtherOTHER ID NUMBER-COMMERCIAL NUMBER