Provider Demographics
NPI:1023611340
Name:I CARE NETWORK CONSULTANTS, LLC
Entity type:Organization
Organization Name:I CARE NETWORK CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:DIANN
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:817-538-5534
Mailing Address - Street 1:329 WATER CREST DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-3893
Mailing Address - Country:US
Mailing Address - Phone:214-893-0885
Mailing Address - Fax:214-574-9344
Practice Address - Street 1:6201 MATLOCK RD STE 125
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-2763
Practice Address - Country:US
Practice Address - Phone:214-210-9969
Practice Address - Fax:214-574-9344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center