Provider Demographics
NPI:1588660245
Name:RX CARE PHARMACIES, INC
Entity Type:Organization
Organization Name:RX CARE PHARMACIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAROSLAW
Authorized Official - Middle Name:
Authorized Official - Last Name:PALYLYK
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:203-262-6860
Mailing Address - Street 1:91 WILLENBROCK RD STE B1
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06478-1036
Mailing Address - Country:US
Mailing Address - Phone:203-262-6860
Mailing Address - Fax:203-262-8765
Practice Address - Street 1:91 WILLENBROCK RD STE B1
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:CT
Practice Address - Zip Code:06478-1036
Practice Address - Country:US
Practice Address - Phone:203-262-6860
Practice Address - Fax:203-262-8765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-27
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCY. 1847332B00000X, 333600000X, 3336L0003X
CTPCY.18473336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02527080OtherNYS MEDICAID
CT4959570001Medicare NSC