Provider Demographics
NPI:1104002468
Name:MEDILINK RXCARE LLC
Entity Type:Organization
Organization Name:MEDILINK RXCARE LLC
Other - Org Name:MEDILINK RXCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOTIRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TZAFEROS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:856-566-4300
Mailing Address - Street 1:1120 WHITE HORSE RD STE 112
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-2103
Mailing Address - Country:US
Mailing Address - Phone:856-566-4300
Mailing Address - Fax:095-214-0486
Practice Address - Street 1:1120 WHITE HORSE RD STE 112
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-2103
Practice Address - Country:US
Practice Address - Phone:856-566-4300
Practice Address - Fax:609-521-4048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X, 3336S0011X
NJ28RS006776003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0769665Medicaid
2056237OtherPK
NJ0156019Medicaid