Provider Demographics
NPI:1245834720
Name:PHARMACY CARE ASSOCIATES
Entity type:Organization
Organization Name:PHARMACY CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:DANE
Authorized Official - Last Name:YARBROUGH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:334-396-9466
Mailing Address - Street 1:545 COTTON GIN RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-3552
Mailing Address - Country:US
Mailing Address - Phone:334-396-9466
Mailing Address - Fax:334-396-6752
Practice Address - Street 1:1754 TRIGREEN DR N
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-2760
Practice Address - Country:US
Practice Address - Phone:256-258-0380
Practice Address - Fax:256-206-8307
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHARMACY CARE ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-25
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy