Provider Demographics
NPI:1356106256
Name:CAREPACK PHARMACY LLC
Entity type:Organization
Organization Name:CAREPACK PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:TARAK
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-532-0220
Mailing Address - Street 1:1039 HARLEY STRICKLAND BLVD STE 700
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-7981
Mailing Address - Country:US
Mailing Address - Phone:386-532-0220
Mailing Address - Fax:386-532-0283
Practice Address - Street 1:1039 HARLEY STRICKLAND BLVD STE 700
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-7981
Practice Address - Country:US
Practice Address - Phone:386-532-0220
Practice Address - Fax:386-532-0283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy