Provider Demographics
NPI:1942876669
Name:PHARMACURE HEALTH CENTER LLC
Entity Type:Organization
Organization Name:PHARMACURE HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAGAT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:336-265-2602
Mailing Address - Street 1:7103 MACKINTOSH PL
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27358-7811
Mailing Address - Country:US
Mailing Address - Phone:336-265-2602
Mailing Address - Fax:336-419-4389
Practice Address - Street 1:740 E MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:HAW RIVER
Practice Address - State:NC
Practice Address - Zip Code:27258-9644
Practice Address - Country:US
Practice Address - Phone:336-265-2602
Practice Address - Fax:336-419-4389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty