Provider Demographics
NPI:1558054858
Name:CAREPARTNERS PHARMACY LLC
Entity Type:Organization
Organization Name:CAREPARTNERS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAMYAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GHAZVINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-294-1199
Mailing Address - Street 1:326 PETERSON RD
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-1008
Mailing Address - Country:US
Mailing Address - Phone:224-294-1199
Mailing Address - Fax:
Practice Address - Street 1:326 PETERSON RD
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-1008
Practice Address - Country:US
Practice Address - Phone:224-294-1199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy