Provider Demographics
NPI:1275950065
Name:PHARMAKARE LLC
Entity Type:Organization
Organization Name:PHARMAKARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RASHMI
Authorized Official - Middle Name:C
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-571-8791
Mailing Address - Street 1:1545 BRANAN FIELD RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-8428
Mailing Address - Country:US
Mailing Address - Phone:904-214-3105
Mailing Address - Fax:
Practice Address - Street 1:1545 BRANAN FIELD RD
Practice Address - Street 2:SUITE # 12
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-8428
Practice Address - Country:US
Practice Address - Phone:912-571-8791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH277813336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy