MEDICARE: CAREBAY 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	3336C0003X	Community/Retail Pharmacy

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

General Provider Information

NPI Number	:	1548348519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREBAY PHARMACY

Provider Business Mailing Address
First Line	:	3828 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3828 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2013
Country	:	US
Telephone Number	:	718-934-8888
Fax Number	:

Authorized Official
Title or Position	:	SP RPH
Name	:	GARI BASIN
Credential	:
Telephone Number	:	718-934-8888

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	02/07/2008

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Directions to “CAREBAY PHARMACY ” Practice Location

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