Provider Demographics
NPI:1700104684
Name:PHARMACARE TEXAS, INC.
Entity Type:Organization
Organization Name:PHARMACARE TEXAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC.
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUYKENDALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-225-0748
Mailing Address - Street 1:9101 LAKEVIEW PKWY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4569
Mailing Address - Country:US
Mailing Address - Phone:469-225-0748
Mailing Address - Fax:469-225-9509
Practice Address - Street 1:9101 LAKEVIEW PKWY
Practice Address - Street 2:SUITE 500
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4569
Practice Address - Country:US
Practice Address - Phone:469-225-0748
Practice Address - Fax:469-225-9509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-17
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26978333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy