Organization
KCAID PHARMACY INC
Active
Other names
Preferred Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM KOZLIK (MANAGER)
(718) 872-7717
Entity
Organization
Contact information
Practice address
1771 BROADWAY, BROOKLYN, NY 11207
(718) 872-7717
(718) 872-7718
Mailing address
1771 BROADWAY, BROOKLYN, NY 11207-1611
(718) 872-7717
(718) 872-7718
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5806332
NCPDP
—
Enumeration date
10/14/2012
Last updated
03/07/2023
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