Provider Demographics
NPI:1427590603
Name:PHARMACARE DRUGS 1 INC
Entity Type:Organization
Organization Name:PHARMACARE DRUGS 1 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST-IN-CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:SAMIH
Authorized Official - Last Name:CHARARA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:734-340-2604
Mailing Address - Street 1:6048 RAWSONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48111-2339
Mailing Address - Country:US
Mailing Address - Phone:734-340-2604
Mailing Address - Fax:734-879-0995
Practice Address - Street 1:6048 RAWSONVILLE RD
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48111-2339
Practice Address - Country:US
Practice Address - Phone:734-340-2604
Practice Address - Fax:734-879-0995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-05
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI=========OtherTAX ID
MI=========Medicare UPIN