Provider Demographics
NPI:1760207997
Name:CLINICARE PHARM PC
Entity type:Organization
Organization Name:CLINICARE PHARM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:
Authorized Official - Last Name:NKWONTA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:732-991-6128
Mailing Address - Street 1:701 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-1636
Mailing Address - Country:US
Mailing Address - Phone:908-754-1600
Mailing Address - Fax:908-756-6270
Practice Address - Street 1:701 PARK AVE
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-1636
Practice Address - Country:US
Practice Address - Phone:908-754-1600
Practice Address - Fax:908-756-6270
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONYEZE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty