Provider Demographics
NPI:1164626842
Name:CARE PHARMACY LLC
Entity Type:Organization
Organization Name:CARE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:PASCHAL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:843-545-9292
Mailing Address - Street 1:1111 MEMORIAL LN
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:SC
Mailing Address - Zip Code:29440-3311
Mailing Address - Country:US
Mailing Address - Phone:843-545-9292
Mailing Address - Fax:
Practice Address - Street 1:1111 MEMORIAL LN
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:SC
Practice Address - Zip Code:29440-3311
Practice Address - Country:US
Practice Address - Phone:843-545-9292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC50006749332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC767497Medicaid
SCDE2234OtherMEDICAID DME
SCDE2234OtherMEDICAID DME