# CENTER CARE PHARMACY CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780398974
- **Authorized official:** JOHN SMITH PHARMD (OWNER)
- **Authorized official phone:** (718) 737-9697

## Contact information

- **Practice address:** 819 FOREST AVE, STATEN ISLAND, NY 10310-2410
- **Practice address phone:** (718) 737-9697
- **Practice address fax:** (917) 830-0314
- **Mailing address:** 819 FOREST AVE, STATEN ISLAND, NY 10310-2410
- **Mailing address phone:** (718) 737-9697
- **Mailing address fax:** (917) 830-0314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/11/2023
- **Last updated:** 06/30/2023