MEDICARE: CABARRUS SPECIALTY PHARMACY

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	3336S0011X	Specialty Pharmacy

General Provider Information

NPI Number	:	1457292153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CABARRUS SPECIALTY PHARMACY

Provider Business Mailing Address
First Line	:	1085 NE GATEWAY CT NE STE 190
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-2407
Country	:	US
Telephone Number	:	704-666-1780
Fax Number	:

Provider Business Practice Location Address
First Line	:	1085 NE GATEWAY CT NE STE 190
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-2407
Country	:	US
Telephone Number	:	704-666-1780
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	HASSAN TANVEER
Credential	:
Telephone Number	:	704-666-1780

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “CABARRUS SPECIALTY PHARMACY ” Practice Location

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