Provider Demographics
NPI:1245334556
Name:GOLDENCARE PHARMACEUTICAL & IV LLC
Entity type:Organization
Organization Name:GOLDENCARE PHARMACEUTICAL & IV LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:GAISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-581-7099
Mailing Address - Street 1:11908 MIRAMAR PARKWAY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025
Mailing Address - Country:US
Mailing Address - Phone:866-581-7099
Mailing Address - Fax:866-581-7078
Practice Address - Street 1:11908 MIRAMAR PARKWAY
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025
Practice Address - Country:US
Practice Address - Phone:866-581-7099
Practice Address - Fax:866-581-7078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1020154OtherNE PDP
1020154OtherNE PDP
FLBG9817694OtherDEA