Provider Demographics
NPI:1629146865
Name:CARINGWELL PHARMACY
Entity Type:Organization
Organization Name:CARINGWELL PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:JAE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:614-336-4485
Mailing Address - Street 1:5695 AVERY RD
Mailing Address - Street 2:STE D
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7097
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5695 AVERY RD
Practice Address - Street 2:STE D
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-7097
Practice Address - Country:US
Practice Address - Phone:614-336-4485
Practice Address - Fax:614-336-4486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X
OH3336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Not Answered3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3672652OtherOTHER ID NUMBER-COMMERCIAL NUMBER