Provider Demographics
NPI:1437458478
Name:PHARMACARE DISCOUNT PHARMACY
Entity Type:Organization
Organization Name:PHARMACARE DISCOUNT PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAI
Authorized Official - Middle Name:SANKAR
Authorized Official - Last Name:VUYYURU
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:267-664-5029
Mailing Address - Street 1:2504 TRACY LN
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19525-8301
Mailing Address - Country:US
Mailing Address - Phone:267-664-5029
Mailing Address - Fax:
Practice Address - Street 1:500 PENN ST STE B
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602-1085
Practice Address - Country:US
Practice Address - Phone:601-371-1010
Practice Address - Fax:610-371-1012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2011-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4821033336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy