Organization
PHARMACADE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE MALIN RPH (PRES)
(718) 842-5485
Entity
Organization
Contact information
Practice address
1049 E 163RD ST, BRONX, NY 10459-4510
(718) 842-5485
(718) 842-8435
Mailing address
1049 E 163RD ST, BRONX, NY 10459-4510
(718) 842-5485
(718) 842-8435
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
014782
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01240651
—
NY
Enumeration date
10/24/2005
Last updated
06/08/2011
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