Provider Demographics
NPI:1932251402
Name:PHARMACEUTICAL CARE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:PHARMACEUTICAL CARE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:M
Authorized Official - Last Name:KRELITZ
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:612-384-3784
Mailing Address - Street 1:PO BOX 5003
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-1003
Mailing Address - Country:US
Mailing Address - Phone:612-384-3784
Mailing Address - Fax:
Practice Address - Street 1:5702 NEWPORT DR
Practice Address - Street 2:SUITE 200
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55436-1726
Practice Address - Country:US
Practice Address - Phone:612-384-3784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN262492-1261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center