Organization
MDS CAPITAL LLC
Active
Other names
MDS Capital LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY FRANK BUSCAINO LICENSED PHARMACIST (SUPERVISING PHARMACIST)
(631) 750-9088
Entity
Organization
Contact information
Practice address
140 KEYLAND CT UNIT 27, BOHEMIA, NY 11716-2655
(631) 750-9088
(631) 250-9087
Mailing address
140 KEYLAND CT UNIT 27, BOHEMIA, NY 11716-2655
(631) 750-9088
(631) 250-9087
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
033789
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157920
PK
—
Enumeration date
06/17/2015
Last updated
04/30/2021
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