Provider Demographics
NPI:1164039798
Name:CARE RESOURCE COMMUNITY HEALTH CENTERS, INC.
Entity Type:Organization
Organization Name:CARE RESOURCE COMMUNITY HEALTH CENTERS, INC.
Other - Org Name:YOUR PHARMACY AT CARE RESOURCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY SERVICES MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDES DE MELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-576-1234
Mailing Address - Street 1:1800 SW 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1960
Mailing Address - Country:US
Mailing Address - Phone:305-576-1234
Mailing Address - Fax:305-576-1563
Practice Address - Street 1:1800 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1960
Practice Address - Country:US
Practice Address - Phone:305-576-1234
Practice Address - Fax:305-576-1563
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE RESOURCE COMMUNITY HEALTH CENTERS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-28
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy