Provider Demographics
NPI:1740584929
Name:PHARMACARE AT PLUMTREE
Entity Type:Organization
Organization Name:PHARMACARE AT PLUMTREE
Other - Org Name:PHARMACARE DISCOUNT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PHARMACIST/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:REDDY
Authorized Official - Middle Name:V
Authorized Official - Last Name:ANNAPPAREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:443-616-6500
Mailing Address - Street 1:208 PLUMTREE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6056
Mailing Address - Country:US
Mailing Address - Phone:443-616-6500
Mailing Address - Fax:443-512-8887
Practice Address - Street 1:208 PLUMTREE RD
Practice Address - Street 2:SUITE A
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6056
Practice Address - Country:US
Practice Address - Phone:443-616-6500
Practice Address - Fax:443-512-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP054373336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy