Provider Demographics
NPI:1285976159
Name:FRIEDMAN, CARY E (RPH)
Entity type:Individual
Prefix:MR
First Name:CARY
Middle Name:E
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 WESTFIELD DR
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-1532
Mailing Address - Country:US
Mailing Address - Phone:203-452-8132
Mailing Address - Fax:203-226-3085
Practice Address - Street 1:289 POST RD E
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-3613
Practice Address - Country:US
Practice Address - Phone:203-226-0741
Practice Address - Fax:203-226-3085
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6546183500000X
FL46192183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist