Provider Demographics
NPI:1669042586
Name:PHARMCARE USA OF OHIO, LLC
Entity Type:Organization
Organization Name:PHARMCARE USA OF OHIO, LLC
Other - Org Name:PHARMCARE USA OF BRUNSWICK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENT
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:450-204-9783
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:HYDRO
Mailing Address - State:OK
Mailing Address - Zip Code:73048-0010
Mailing Address - Country:US
Mailing Address - Phone:866-219-3619
Mailing Address - Fax:
Practice Address - Street 1:1130 INDUSTRIAL PKWY N STE 1
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-5605
Practice Address - Country:US
Practice Address - Phone:866-219-3619
Practice Address - Fax:866-312-4336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy