Provider Demographics
NPI:1346846771
Name:TELECARE PHARMACY LLC
Entity Type:Organization
Organization Name:TELECARE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:NASIR
Authorized Official - Middle Name:M
Authorized Official - Last Name:SADEGHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-396-0288
Mailing Address - Street 1:324 PETERSON RD
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-1008
Mailing Address - Country:US
Mailing Address - Phone:866-396-0288
Mailing Address - Fax:855-893-9513
Practice Address - Street 1:324 PETERSON RD
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-1008
Practice Address - Country:US
Practice Address - Phone:866-396-0288
Practice Address - Fax:855-893-9513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy