NPI | 1437674173 |
---|---|
Doing Business As | COMMUNITY CARE RX LTC |
Entity Type | Organization |
Authorized Contact | YANA PEKAREVA Owner 267-255-2116 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: PA PP482773) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2017-08-03 |
Last Update Date | 2019-02-13 |