MEDICARE: CAROLYN PERRY PHARMD

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	183500000X	Pharmacist	PS55204	FL

General Provider Information

NPI Number	:	1932651080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLYN PERRY PHARMD

Provider Business Mailing Address
First Line	:	9377 OLMSTEAD DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-3616
Country	:	US
Telephone Number	:	561-755-3868
Fax Number	:

Provider Business Practice Location Address
First Line	:	6790 FOREST HILL BLVD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33413-3351
Country	:	US
Telephone Number	:	561-641-4500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2016
Last Update Date	:	08/16/2020

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Directions to “ CAROLYN PERRY PHARMD” Practice Location

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