Provider Demographics
NPI:1891214011
Name:AMERICARE RX PHARMACY INC
Entity Type:Organization
Organization Name:AMERICARE RX PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR/OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SEREDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-217-5312
Mailing Address - Street 1:4010 W. 15TH ST.
Mailing Address - Street 2:STE 60
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:248-622-1821
Mailing Address - Fax:
Practice Address - Street 1:4010 W. 15TH ST.
Practice Address - Street 2:STE 60
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:248-622-1821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-19
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX315913336C0003X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty