Provider Demographics
NPI:1477543015
Name:RXCARE INC
Entity Type:Organization
Organization Name:RXCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:BRITT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:336-394-1100
Mailing Address - Street 1:PO BOX 29
Mailing Address - Street 2:
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27323-0029
Mailing Address - Country:US
Mailing Address - Phone:336-342-0071
Mailing Address - Fax:336-394-1110
Practice Address - Street 1:219 GILMER ST
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-3809
Practice Address - Country:US
Practice Address - Phone:336-349-3313
Practice Address - Fax:336-349-5555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-25
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC08382333600000X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0795791Medicaid