Provider Demographics
NPI:1801529276
Name:PHARMACARE, LLC
Entity type:Organization
Organization Name:PHARMACARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:DENAE
Authorized Official - Last Name:SPECKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:801-252-1000
Mailing Address - Street 1:4133 W PIONEER PKWY STE 130
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84120-2059
Mailing Address - Country:US
Mailing Address - Phone:385-557-6747
Mailing Address - Fax:888-546-6032
Practice Address - Street 1:4133 W PIONEER PKWY STE 130
Practice Address - Street 2:
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84120-2059
Practice Address - Country:US
Practice Address - Phone:385-557-6747
Practice Address - Fax:888-546-6032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-05
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy