Provider Demographics
NPI:1396076535
Name:CARE PHARMACY INC
Entity type:Organization
Organization Name:CARE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:AVAIS
Authorized Official - Last Name:MAQSOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-440-7786
Mailing Address - Street 1:1793 BLOOMINGDALE RD
Mailing Address - Street 2:STE 7
Mailing Address - City:GLENDALE HTS
Mailing Address - State:IL
Mailing Address - Zip Code:60139-3800
Mailing Address - Country:US
Mailing Address - Phone:630-440-7786
Mailing Address - Fax:630-242-8450
Practice Address - Street 1:1793 BLOOMINGDALE RD
Practice Address - Street 2:STE 7
Practice Address - City:GLENDALE HTS
Practice Address - State:IL
Practice Address - Zip Code:60139-3800
Practice Address - Country:US
Practice Address - Phone:630-440-7786
Practice Address - Fax:630-242-8450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-28
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.2897573336C0003X
3336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL051.289757OtherSTATE LICENSE