Provider Demographics
NPI:1881306264
Name:CAREPHARM PHARMACY 2
Entity type:Organization
Organization Name:CAREPHARM PHARMACY 2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARM.D.
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT TAI
Authorized Official - Middle Name:
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-836-7557
Mailing Address - Street 1:6647 MING AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-3491
Mailing Address - Country:US
Mailing Address - Phone:661-836-7557
Mailing Address - Fax:661-836-7547
Practice Address - Street 1:6647 MING AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-3491
Practice Address - Country:US
Practice Address - Phone:661-836-7557
Practice Address - Fax:661-836-7547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy