Provider Demographics
NPI:1144537879
Name:EVEREST PHARMACARE LLC
Entity type:Organization
Organization Name:EVEREST PHARMACARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DHRUV
Authorized Official - Middle Name:
Authorized Official - Last Name:THAKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-379-3030
Mailing Address - Street 1:1302 HANOVER AVE
Mailing Address - Street 2:SUITE 1318
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18109-2096
Mailing Address - Country:US
Mailing Address - Phone:610-437-2929
Mailing Address - Fax:
Practice Address - Street 1:1302 HANOVER AVE
Practice Address - Street 2:SUITE 1318
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109-2096
Practice Address - Country:US
Practice Address - Phone:610-437-2929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4820503336L0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy