Provider Demographics
NPI:1982649166
Name:RX CARE PHARMACY
Entity Type:Organization
Organization Name:RX CARE PHARMACY
Other - Org Name:PRESCRIPTION CARE PROVIDERS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:LIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PADRON
Authorized Official - Suffix:
Authorized Official - Credentials:BSP
Authorized Official - Phone:305-418-4541
Mailing Address - Street 1:6991 NW 82ND AVE
Mailing Address - Street 2:STE 12
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-2776
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6991 NW 82ND AVE
Practice Address - Street 2:STE 12
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-2776
Practice Address - Country:US
Practice Address - Phone:305-418-4541
Practice Address - Fax:305-591-1863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH17719333600000X
3336C0003X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered333600000XSuppliersPharmacy
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Not Answered3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1094767OtherOTHER ID NUMBER-COMMERCIAL NUMBER