Provider Demographics
NPI:1629420385
Name:COMFORT AND CARE RX LLC
Entity Type:Organization
Organization Name:COMFORT AND CARE RX LLC
Other - Org Name:THE MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:NAFISA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-287-2983
Mailing Address - Street 1:PO BOX 464
Mailing Address - Street 2:
Mailing Address - City:FURLONG
Mailing Address - State:PA
Mailing Address - Zip Code:18925-0464
Mailing Address - Country:US
Mailing Address - Phone:215-287-2983
Mailing Address - Fax:
Practice Address - Street 1:3025-27 KENSINGTON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-2415
Practice Address - Country:US
Practice Address - Phone:215-426-0250
Practice Address - Fax:267-773-7441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-06
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2167456OtherPK