Provider Demographics
NPI:1710278049
Name:CARE PHARMACY LLC
Entity Type:Organization
Organization Name:CARE PHARMACY LLC
Other - Org Name:HAVI'S CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:HAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-585-8191
Mailing Address - Street 1:5337 AMBLER CT
Mailing Address - Street 2:
Mailing Address - City:NEW BALTIMORE
Mailing Address - State:VA
Mailing Address - Zip Code:20187-9203
Mailing Address - Country:US
Mailing Address - Phone:703-585-8191
Mailing Address - Fax:
Practice Address - Street 1:294 W LEE HWY
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-2434
Practice Address - Country:US
Practice Address - Phone:540-428-7002
Practice Address - Fax:540-878-2487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
VA02010044033336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2130024OtherPK