MEDICARE: CARE PHARMACY OF SURFSIDE LLC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	50008097	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2092649	OTHER		PK

General Provider Information

NPI Number	:	1043303498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE PHARMACY OF SURFSIDE LLC

Provider Business Mailing Address
First Line	:	320 HIGHWAY 17 N
Second Line	:
City	:	SURFSIDE BEACH
State	:	SC
Zip	:	29575-6031
Country	:	US
Telephone Number	:	843-238-9292
Fax Number	:	843-477-0300

Provider Business Practice Location Address
First Line	:	320 HIGHWAY 17 N
Second Line	:
City	:	SURFSIDE BEACH
State	:	SC
Zip	:	29575-6031
Country	:	US
Telephone Number	:	843-238-9292
Fax Number	:	843-477-0300

Authorized Official
Title or Position	:	PIC
Name	:	BRYAN DRY
Credential	:	RPH
Telephone Number	:	843-318-0115

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	09/19/2013

Similar Medicare Providers

1285808006 — RANDY COOK REAMES RPH
Practice Location Address:

320 HIGHWAY 17 N
SURFSIDE BEACH, SC
29575-6031

Practice Phone: 843-238-9292
Practice Fax: 843-477-0300

1700454105 — MS. NICOLE RENEE OVEDIA LCSW
Practice Location Address:

936 KOKOMO KEY LN FL 33483
DELRAY BEACH, FL
33483-6031

Practice Phone: 561-762-0027
Practice Fax: 954-212-5757

1679769004 — DR. YOUNGHEE PARK D.C., L.AC.
Practice Location Address:

6031 BEACH BLVD
BUENA PARK, CA
90621-2304

Practice Phone: 714-757-5867
Practice Fax:

1003097429 — CORE ACUPUNCTURE HEALTH CARE
Practice Location Address:

6031 BEACH BLVD
BUENA PARK, CA
90621-2304

Practice Phone: 714-994-1169
Practice Fax:

1053584201 — DR. MARIKA KYRIMIS PH.D.
Practice Location Address:

6031 BEACH DR SW
SEATTLE, WA
98136-1349

Practice Phone: 206-488-5283
Practice Fax: 646-437-3582

1831566496 — LYNDALL VU
Practice Location Address:

6031 ANACAPA DR
HUNTINGTON BEACH, CA
92647-2201

Practice Phone: 714-553-2785
Practice Fax:

Directions to “CARE PHARMACY OF SURFSIDE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.