Provider Demographics
NPI:1669050597
Name:CAREMARK, L.L.C.
Entity type:Organization
Organization Name:CAREMARK, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. CONSULTANT PR REGULATORY AFFAIR
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CAMPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-799-4174
Mailing Address - Street 1:2211 SANDERS RD
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-6128
Mailing Address - Country:US
Mailing Address - Phone:951-318-3397
Mailing Address - Fax:
Practice Address - Street 1:2211 SANDERS RD
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-6128
Practice Address - Country:US
Practice Address - Phone:951-318-3397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No333600000XSuppliersPharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy