Provider Demographics
NPI:1568093615
Name:CAREFIRST PHARMACY, INC.
Entity Type:Organization
Organization Name:CAREFIRST PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DANNIELA A
Authorized Official - Middle Name:OLMOS
Authorized Official - Last Name:FIGUERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-902-2356
Mailing Address - Street 1:2253 N CICERO AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60639-3327
Mailing Address - Country:US
Mailing Address - Phone:773-413-7540
Mailing Address - Fax:
Practice Address - Street 1:2253 N CICERO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60639-3327
Practice Address - Country:US
Practice Address - Phone:847-431-3441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy