| Organization Name: | CAREFIRST SPECIALTY PHARMACY, LLC |
| NPI Number: | 1043691694 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BHAVESH THAKRAR (PRESIDENT AND PHARMACIST IN CHARGE) |
| Mailing Address: | 2200 Garry Rd Suite 1 Cinnaminson |
| State: | NJ US |
| Postal Code: | 080772595 |
| Phone Number: | 8562670528 |
| Fax Number: | 8562670529 |
| NPI Enumeration Date: | 06/09/2015 |
| NPI Last Update Date: | 06/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0004X |
| License Number: | 28RS00740200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Compounding Pharmacy |
| Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |