Provider Demographics
NPI:1265839492
Name:KARE PHARMACY DEERFIELD BEACH
Entity Type:Organization
Organization Name:KARE PHARMACY DEERFIELD BEACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:CHASE
Authorized Official - Last Name:SOBLICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-380-8632
Mailing Address - Street 1:2200 SW 10TH ST
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-7622
Mailing Address - Country:US
Mailing Address - Phone:954-719-7144
Mailing Address - Fax:154-333-6453
Practice Address - Street 1:2200 SW 10TH ST
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-7622
Practice Address - Country:US
Practice Address - Phone:954-719-7144
Practice Address - Fax:154-333-6453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy