Provider Demographics
NPI:1144919473
Name:ICARE PHARMACY PLUS LLC
Entity type:Organization
Organization Name:ICARE PHARMACY PLUS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YASMEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSAF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-262-0969
Mailing Address - Street 1:900 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503-2619
Mailing Address - Country:US
Mailing Address - Phone:862-257-9990
Mailing Address - Fax:862-257-9991
Practice Address - Street 1:900 MAIN ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-2619
Practice Address - Country:US
Practice Address - Phone:862-257-9990
Practice Address - Fax:862-257-9991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy