Organization
EQUAL CARE III LLC
Active
Other names
EQUAL CARE III LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL LEE RPH (MEMBER/PIC)
(718) 888-9338
Entity
Organization
Contact information
Practice address
4059 COLLEGE POINT BLVD, FLUSHING, NY 11354-5140
(718) 888-9338
(718) 888-9299
Mailing address
4059 COLLEGE POINT BLVD, FLUSHING, NY 11354-5140
(718) 888-9338
(718) 888-9299
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030165
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03245741
—
NY
01
—
2125459
PK
—
Enumeration date
04/21/2010
Last updated
05/11/2016
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