Provider Demographics
NPI:1508167305
Name:CAREMOR FAMILY PHARMACY INC
Entity Type:Organization
Organization Name:CAREMOR FAMILY PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH
Authorized Official - Phone:704-489-2223
Mailing Address - Street 1:PO BOX 967
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-0967
Mailing Address - Country:US
Mailing Address - Phone:704-489-2223
Mailing Address - Fax:704-489-2263
Practice Address - Street 1:3634 N HIGHWAY 16
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-8268
Practice Address - Country:US
Practice Address - Phone:704-489-2223
Practice Address - Fax:704-489-2263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC08821183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0555335Medicaid
NC5266280001Medicare NSC