Organization Name: | AMICARE PHARMACY, INC |
NPI Number: | 1487720140 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNA MERIDETH (MANAGER) |
Mailing Address: | 4101 John Deere Rd Moline |
State: | IL US |
Postal Code: | 612656790 |
Phone Number: | 3095176710 |
Fax Number: | 3095176708 |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 07/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 203001033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |