Provider Demographics
NPI:1447722343
Name:TOTAL CARE RX, INC.
Entity type:Organization
Organization Name:TOTAL CARE RX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DONNELLY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-762-7111
Mailing Address - Street 1:5737 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5332
Mailing Address - Country:US
Mailing Address - Phone:718-762-7111
Mailing Address - Fax:718-764-6491
Practice Address - Street 1:22310 UNION TPKE
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-3645
Practice Address - Country:US
Practice Address - Phone:718-762-7111
Practice Address - Fax:718-764-6491
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTAL CARE RX, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-18
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy