Provider Demographics
NPI:1598177693
Name:CAREWARD PHARMACY LLC
Entity Type:Organization
Organization Name:CAREWARD PHARMACY LLC
Other - Org Name:CAREWARD PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKLED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-528-8628
Mailing Address - Street 1:43344 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48302-5014
Mailing Address - Country:US
Mailing Address - Phone:313-528-8628
Mailing Address - Fax:
Practice Address - Street 1:43344 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48302-5014
Practice Address - Country:US
Practice Address - Phone:313-528-8628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-22
Last Update Date:2014-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2145930OtherPK