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Organization

FREEPORT MEDICAL SUPPLY INC

Active
Other names
xtra care pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHUKWUMA MADU RPH, PHARM.D (PRESIDENT)
(516) 208-7432
Entity
Organization

Contact information

Practice address
75 S MAIN ST, FREEPORT, NY 11520-3841
(516) 208-7432
(516) 208-8096
Mailing address
75 S MAIN ST, FREEPORT, NY 11520-3841
(516) 208-7432
(516) 208-8096

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3354684
NABP
NY
Enumeration date
05/25/2006
Last updated
10/30/2014
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