Provider Demographics
NPI:1801022207
Name:CARRY PHARMACY INC
Entity Type:Organization
Organization Name:CARRY PHARMACY INC
Other - Org Name:CARRY DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGHAVANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-332-4488
Mailing Address - Street 1:75 BRIGHT ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-4375
Mailing Address - Country:US
Mailing Address - Phone:201-332-4488
Mailing Address - Fax:201-332-1088
Practice Address - Street 1:75 BRIGHT ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-4375
Practice Address - Country:US
Practice Address - Phone:201-332-4488
Practice Address - Fax:201-332-1088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-31
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS006940003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3196311OtherNCPDP PROVIDER IDENTIFICATION NUMBER