# MEDPACK LLC

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

## Provider details

- **NPI number:** 1801201231
- **Authorized official:** MR. SAMIR BHAGAT (CEO)
- **Authorized official phone:** (347) 506-1000

## Contact information

- **Practice address:** 5923 STRICKLAND AVE, BROOKLYN, NY 11234-6435
- **Practice address phone:** (347) 506-1000
- **Practice address fax:** (718) 975-7755
- **Mailing address:** 171 KINGS HWY, BROOKLYN, NY 11223-1023
- **Mailing address phone:** (347) 506-1000
- **Mailing address fax:** (718) 975-7755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | 032803 | NY | Yes |
| 3336L0003X | Long Term Care Pharmacy | 032803 | NY | — |
| 3336S0011X | Specialty Pharmacy | 032803 | NY | — |

## Other

- **Enumeration date:** 06/24/2014
- **Last updated:** 06/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 032803 | BOARD OF PHARMACY | NY |