Provider Demographics
NPI:1477295731
Name:INSTACARE PHARMACY LLC
Entity Type:Organization
Organization Name:INSTACARE PHARMACY LLC
Other - Org Name:INSTACARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARCHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:443-905-1645
Mailing Address - Street 1:8646 ENOCH PRATT DR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043
Mailing Address - Country:US
Mailing Address - Phone:240-242-3359
Mailing Address - Fax:240-242-3379
Practice Address - Street 1:12331 GEORGIA AVE STE A
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-3646
Practice Address - Country:US
Practice Address - Phone:240-242-3359
Practice Address - Fax:240-242-3379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy