Provider Demographics
NPI:1891737482
Name:GOLDENCARE PHARMACEUTICAL AND IV, LLC
Entity Type:Organization
Organization Name:GOLDENCARE PHARMACEUTICAL AND IV, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GARRY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SPEAR
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:561-929-3867
Mailing Address - Street 1:11908 MIRAMAR PKWY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-7005
Mailing Address - Country:US
Mailing Address - Phone:954-874-0611
Mailing Address - Fax:954-874-0618
Practice Address - Street 1:11908 MIRAMAR PKWY
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-7005
Practice Address - Country:US
Practice Address - Phone:954-874-0611
Practice Address - Fax:954-874-0618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy