MEDICARE: CARY'S 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	333600000X	Pharmacy	028974	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3329047	OTHER	NY	NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366440414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARY'S PHARMACY INC

Provider Business Mailing Address
First Line	:	105 MAIN ST
Second Line	:
City	:	DOBBS FERRY
State	:	NY
Zip	:	10522-1601
Country	:	US
Telephone Number	:	914-693-0008
Fax Number	:	914-693-0076

Provider Business Practice Location Address
First Line	:	105 MAIN ST
Second Line	:
City	:	DOBBS FERRY
State	:	NY
Zip	:	10522-1601
Country	:	US
Telephone Number	:	914-693-0008
Fax Number	:	914-693-0076

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ERIC GRANICK
Credential	:
Telephone Number	:	914-693-0008

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	01/16/2009

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Directions to “CARY'S PHARMACY INC ” Practice Location

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