Provider Demographics
NPI:1871252320
Name:CARLOS PHARMACY CORP
Entity Type:Organization
Organization Name:CARLOS PHARMACY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:COVLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:914-907-0958
Mailing Address - Street 1:18 E 183RD ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-1241
Mailing Address - Country:US
Mailing Address - Phone:347-271-6262
Mailing Address - Fax:347-271-6260
Practice Address - Street 1:18 E 183RD ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-1241
Practice Address - Country:US
Practice Address - Phone:347-271-6262
Practice Address - Fax:347-271-6260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2022-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy