Provider Demographics
NPI:1790825974
Name:INFUCARE INC
Entity type:Organization
Organization Name:INFUCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCADOO
Authorized Official - Suffix:
Authorized Official - Credentials:DPH
Authorized Official - Phone:580-799-7323
Mailing Address - Street 1:211 S 1ST ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:MADILL
Mailing Address - State:OK
Mailing Address - Zip Code:73446
Mailing Address - Country:US
Mailing Address - Phone:580-795-7323
Mailing Address - Fax:580-795-2580
Practice Address - Street 1:211 S 1ST ST
Practice Address - Street 2:SUITE A
Practice Address - City:MADILL
Practice Address - State:OK
Practice Address - Zip Code:73446
Practice Address - Country:US
Practice Address - Phone:580-795-7323
Practice Address - Fax:580-795-2580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6844043336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy