Provider Demographics
NPI:1669833257
Name:PRECISION CARE CORP
Entity Type:Organization
Organization Name:PRECISION CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:M
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1610-743-3132
Mailing Address - Street 1:360 E WYOMISSING AVE
Mailing Address - Street 2:SUITE H
Mailing Address - City:MOHNTON
Mailing Address - State:PA
Mailing Address - Zip Code:19540-1523
Mailing Address - Country:US
Mailing Address - Phone:610-743-3132
Mailing Address - Fax:610-741-6348
Practice Address - Street 1:360 E WYOMISSING AVE
Practice Address - Street 2:SUITE H
Practice Address - City:MOHNTON
Practice Address - State:PA
Practice Address - Zip Code:19540-1523
Practice Address - Country:US
Practice Address - Phone:610-743-3132
Practice Address - Fax:610-741-6348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP482625333600000X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPP482625OtherPHARMACY LICENSE