Provider Demographics
NPI:1942062484
Name:PHAMCARE RX PHARMACY LLC
Entity Type:Organization
Organization Name:PHAMCARE RX PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VIETQUYNH
Authorized Official - Middle Name:HOANG
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-975-4967
Mailing Address - Street 1:21 NOTTOWAY DR
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-5078
Mailing Address - Country:US
Mailing Address - Phone:504-975-4967
Mailing Address - Fax:
Practice Address - Street 1:7535 WESTBANK EXPY
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-2353
Practice Address - Country:US
Practice Address - Phone:504-975-4967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy