Provider Demographics
NPI:1043014558
Name:PHARMACARE LTD
Entity type:Organization
Organization Name:PHARMACARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HENKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-833-6770
Mailing Address - Street 1:1511 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMER
Mailing Address - State:WI
Mailing Address - Zip Code:54724-1640
Mailing Address - Country:US
Mailing Address - Phone:715-833-6770
Mailing Address - Fax:
Practice Address - Street 1:1511 MAIN ST
Practice Address - Street 2:
Practice Address - City:BLOOMER
Practice Address - State:WI
Practice Address - Zip Code:54724-1640
Practice Address - Country:US
Practice Address - Phone:715-568-2190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHARMACARE LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy