Provider Demographics
NPI:1598798274
Name:METCARE RX, INC.
Entity Type:Organization
Organization Name:METCARE RX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP CORPORATE REVENUE
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-653-1040
Mailing Address - Street 1:7419A VAN DUSEN ROAD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707
Mailing Address - Country:US
Mailing Address - Phone:240-554-1275
Mailing Address - Fax:240-554-1282
Practice Address - Street 1:7419A VAN DUSEN ROAD
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707
Practice Address - Country:US
Practice Address - Phone:240-554-1275
Practice Address - Fax:240-554-1282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPW02003336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy