# KCAID PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KCAID PHARMACY INC
- **Other names:** Preferred Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902555600
- **Legal business name:** KCAID PHARMACY INC
- **Authorized official:** JIM KOZLIK (MANAGING DIRECTOR)
- **Authorized official phone:** (718) 872-7717

## Contact information

- **Practice address:** 1771 BROADWAY, BROOKLYN, NY 11207-1611
- **Practice address phone:** (718) 872-7717
- **Mailing address:** 1771 BROADWAY, BROOKLYN, NY 11207-1611
- **Mailing address phone:** (718) 872-7717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2022
- **Last updated:** 03/21/2022