Provider Demographics
NPI:1366782302
Name:BIOCARE, INC. DBA CANYONCARE RX
Entity type:Organization
Organization Name:BIOCARE, INC. DBA CANYONCARE RX
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE AND DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-850-6215
Mailing Address - Street 1:2826 SOUTH POTTER DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282
Mailing Address - Country:US
Mailing Address - Phone:855-307-6880
Mailing Address - Fax:602-850-6215
Practice Address - Street 1:2826 SOUTH POTTER DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282
Practice Address - Country:US
Practice Address - Phone:855-307-6880
Practice Address - Fax:602-850-6215
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIOCARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-02-28
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy