Provider Demographics
NPI:1053413948
Name:PHARMACARE LTD
Entity type:Organization
Organization Name:PHARMACARE LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SEC/TREAS
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:E
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-833-6770
Mailing Address - Street 1:2741 N CLAIREMONT AVE STE E
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54703-2595
Mailing Address - Country:US
Mailing Address - Phone:715-833-6767
Mailing Address - Fax:715-833-6766
Practice Address - Street 1:2741 N CLAIREMONT AVE STE E
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54703-2595
Practice Address - Country:US
Practice Address - Phone:715-833-6767
Practice Address - Fax:715-833-6766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI33297000Medicaid
WI5117785OtherNCPDP
WI4657630007Medicare NSC