Provider Demographics
NPI:1871564310
Name:PHARMA-CARE, INC.
Entity type:Organization
Organization Name:PHARMA-CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HARLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, CCP, FASCP
Authorized Official - Phone:732-574-9015
Mailing Address - Street 1:136 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1142
Mailing Address - Country:US
Mailing Address - Phone:732-574-9015
Mailing Address - Fax:732-499-6778
Practice Address - Street 1:136 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1142
Practice Address - Country:US
Practice Address - Phone:732-574-9015
Practice Address - Fax:732-499-6778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-01
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28R101261000333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy