Provider Demographics
NPI:1972738029
Name:CARESCRIPTS LLC
Entity Type:Organization
Organization Name:CARESCRIPTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:CHANNARONG
Authorized Official - Middle Name:
Authorized Official - Last Name:JARUVANGSANTI
Authorized Official - Suffix:
Authorized Official - Credentials:RP
Authorized Official - Phone:480-505-5710
Mailing Address - Street 1:1155 W RIO SALADO PKWY
Mailing Address - Street 2:110
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-2598
Mailing Address - Country:US
Mailing Address - Phone:480-505-5731
Mailing Address - Fax:480-505-5727
Practice Address - Street 1:1155 W RIO SALADO PKWY
Practice Address - Street 2:110
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-2598
Practice Address - Country:US
Practice Address - Phone:480-505-5731
Practice Address - Fax:480-505-5727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS010041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty