Care Rx Llc, NPI 1821170366
Long Term Care Pharmacy in Stockton, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1821170366
NPI Entity Type Organization
Provider Name Care Rx Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 7720 Lorraine Ave, Stockton, CA, US
Provider Mailing Address 18110 Se 34th St Ste 270, Vancouver, WA, US, 986839440
Is Sole Proprietor? No
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Organization Official

Official Name John Mack
Official Position CEO
Phone 800-330-3665

Primary Taxonomy

Taxonomy Code

3336L0003X

Taxonomy Name Long Term Care Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 54574
License State CA
Description A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Other Organization Name

Pharmacy Care Concepts
Doing Business As

Business Address

Care Rx Llc
7720 Lorraine Ave

Stockton, CA, US

Phone: 209-957-8787
Fax: 209-951-1456

Mailing Address

Care Rx Llc
18110 Se 34th St Ste 270
Vancouver, WA, US
ZIP 986839440
Phone: 800-330-3665
Fax: 800-982-2730

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

No

3336C0003X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1821170366 CA MEDICAID 05
2168375 PK 01

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