Healthcare Provider Details
I. General information
NPI: 1801022207
Provider Name (Legal Business Name): CARRY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/31/2009
Last Update Date: 12/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
75 BRIGHT ST
JERSEY CITY NJ
07302-4375
US
IV. Provider business mailing address
75 BRIGHT ST
JERSEY CITY NJ
07302-4375
US
V. Phone/Fax
- Phone: 201-332-4488
- Fax: 201-332-1088
- Phone: 201-332-4488
- Fax: 201-332-1088
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 28RS00694000 |
| License Number State | NJ |
VIII. Authorized Official
Name:
DAVID
ARGHAVANI
Title or Position: OWNER
Credential:
Phone: 201-332-4488