Provider Demographics
NPI:1851432710
Name:PHARMACARE SERVICES INC
Entity Type:Organization
Organization Name:PHARMACARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:
Authorized Official - Last Name:BRICKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:336-228-6337
Mailing Address - Street 1:509 S LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-5826
Mailing Address - Country:US
Mailing Address - Phone:336-228-6337
Mailing Address - Fax:336-226-1664
Practice Address - Street 1:138 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5847
Practice Address - Country:US
Practice Address - Phone:336-228-6337
Practice Address - Fax:336-226-1664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NC056523336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0015677Medicaid
2070617OtherPK
NC0015677Medicaid