Provider Demographics
NPI:1790948230
Name:CARY, RAIMON IV (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RAIMON
Middle Name:
Last Name:CARY
Suffix:IV
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2027 SUFFOLK RD STE 4
Mailing Address - Street 2:
Mailing Address - City:FINKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21048-1634
Mailing Address - Country:US
Mailing Address - Phone:410-526-1055
Mailing Address - Fax:410-526-5211
Practice Address - Street 1:2027 SUFFOLK RD STE 4
Practice Address - Street 2:
Practice Address - City:FINKSBURG
Practice Address - State:MD
Practice Address - Zip Code:21048-1634
Practice Address - Country:US
Practice Address - Phone:410-526-1055
Practice Address - Fax:410-526-5211
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2022-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18784183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist