Organization
FREEPORT MEDICAL SUPPLY INC
Active
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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