Provider Demographics
NPI:1659029841
Name:TRUCARE PHARMACY, LLC
Entity Type:Organization
Organization Name:TRUCARE PHARMACY, LLC
Other - Org Name:PBJAJ TRUCARE PHARMACY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRBCICH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:330-685-5719
Mailing Address - Street 1:7206 HIGHWAY 271 S
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72908-8017
Mailing Address - Country:US
Mailing Address - Phone:479-922-2253
Mailing Address - Fax:479-922-2255
Practice Address - Street 1:6211 OLD PEARSALL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78242-2660
Practice Address - Country:US
Practice Address - Phone:210-501-0185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-16
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy