MEDICARE: CAREFIRST 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

General Provider Information

NPI Number	:	1568093615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREFIRST PHARMACY, INC.

Provider Business Mailing Address
First Line	:	2253 N CICERO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-3327
Country	:	US
Telephone Number	:	773-413-7540
Fax Number	:

Provider Business Practice Location Address
First Line	:	2253 N CICERO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-3327
Country	:	US
Telephone Number	:	847-431-3441
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. DANNIELA A OLMOS FIGUERO
Credential	:
Telephone Number	:	773-902-2356

Provider Enumeration Date	:	01/28/2020
Last Update Date	:	01/28/2020

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Directions to “CAREFIRST PHARMACY, INC. ” Practice Location

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