MEDICARE: CARE PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	051.289757	IL
2	3336M0002X	Mail Order Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	051.289757	OTHER	IL	STATE LICENSE

General Provider Information

NPI Number	:	1396076535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE PHARMACY INC

Provider Business Mailing Address
First Line	:	1793 BLOOMINGDALE RD
Second Line	:	STE 7
City	:	GLENDALE HTS
State	:	IL
Zip	:	60139-3800
Country	:	US
Telephone Number	:	630-440-7786
Fax Number	:	630-242-8450

Provider Business Practice Location Address
First Line	:	1793 BLOOMINGDALE RD
Second Line	:	STE 7
City	:	GLENDALE HTS
State	:	IL
Zip	:	60139-3800
Country	:	US
Telephone Number	:	630-440-7786
Fax Number	:	630-242-8450

Authorized Official
Title or Position	:	MANAGER
Name	:	SYED AVAIS MAQSOOD
Credential	:
Telephone Number	:	630-440-7786

Provider Enumeration Date	:	01/28/2010
Last Update Date	:	02/05/2010

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Directions to “CARE PHARMACY INC ” Practice Location

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