Provider Demographics
NPI:1427399096
Name:CARE MORE PHARMACY LLC
Entity Type:Organization
Organization Name:CARE MORE PHARMACY LLC
Other - Org Name:CARE MORE PHARMACY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:FAWZE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAID
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:716-235-8185
Mailing Address - Street 1:319 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LACKAWANNA
Mailing Address - State:NY
Mailing Address - Zip Code:14218
Mailing Address - Country:US
Mailing Address - Phone:716-235-8185
Mailing Address - Fax:716-235-8186
Practice Address - Street 1:319 RIDGE RD
Practice Address - Street 2:
Practice Address - City:LACKAWANNA
Practice Address - State:NY
Practice Address - Zip Code:14218-1228
Practice Address - Country:US
Practice Address - Phone:716-235-8185
Practice Address - Fax:716-235-8186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-07
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0316663336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2139273OtherPK
NY6867520001Medicare NSC