Provider Demographics
NPI:1326804873
Name:PHARMORECARE MEDICAL SERVICES
Entity Type:Organization
Organization Name:PHARMORECARE MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADITYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PULIKAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD JD
Authorized Official - Phone:512-734-8060
Mailing Address - Street 1:7700 CAT HOLLOW DR STE 203
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5799
Mailing Address - Country:US
Mailing Address - Phone:512-734-8060
Mailing Address - Fax:512-859-6684
Practice Address - Street 1:7700 CAT HOLLOW DR STE 203
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5799
Practice Address - Country:US
Practice Address - Phone:512-734-8060
Practice Address - Fax:512-859-6684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)