Provider Demographics
NPI:1053764894
Name:CORRY, CARA ROWLAND (PHARMD)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:ROWLAND
Last Name:CORRY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-5535
Mailing Address - Country:US
Mailing Address - Phone:850-222-8992
Mailing Address - Fax:850-222-1114
Practice Address - Street 1:7117 MERRILL RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32277-2620
Practice Address - Country:US
Practice Address - Phone:904-744-8172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-17
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS54893183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist