Provider Demographics
NPI:1629313622
Name:SUTHARS INC
Entity Type:Organization
Organization Name:SUTHARS INC
Other - Org Name:KARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-799-2131
Mailing Address - Street 1:411 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-4629
Mailing Address - Country:US
Mailing Address - Phone:434-792-8281
Mailing Address - Fax:434-792-3235
Practice Address - Street 1:411 PARK AVE STE 200
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-4629
Practice Address - Country:US
Practice Address - Phone:434-792-8281
Practice Address - Fax:434-792-3235
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUTHARS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0201003180333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1629313622Medicaid