Provider Demographics
NPI:1881952851
Name:CAREMARKPCS HEALTH, L.L.C.
Entity type:Organization
Organization Name:CAREMARKPCS HEALTH, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-799-4174
Mailing Address - Street 1:9501 E SHEA BLVD
Mailing Address - Street 2:MC108
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6719
Mailing Address - Country:US
Mailing Address - Phone:877-864-7744
Mailing Address - Fax:800-378-0323
Practice Address - Street 1:9501 E SHEA BLVD
Practice Address - Street 2:MC108
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6719
Practice Address - Country:US
Practice Address - Phone:877-864-7744
Practice Address - Fax:800-378-0323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZY0027583336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy