Provider Demographics
NPI:1437458247
Name:U.S. PHARMCARE LLC
Entity Type:Organization
Organization Name:U.S. PHARMCARE LLC
Other - Org Name:COMMUNITY CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOHAM
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:800-877-5013
Mailing Address - Street 1:PO BOX 416
Mailing Address - Street 2:
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-0416
Mailing Address - Country:US
Mailing Address - Phone:800-877-5013
Mailing Address - Fax:213-404-5544
Practice Address - Street 1:14623 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-1581
Practice Address - Country:US
Practice Address - Phone:800-877-5013
Practice Address - Fax:213-404-5544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50454332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies