Organization
MEDCAL PHARMACY LLC
Active
Other names
Medcal Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CALLER (PRESIDENT)
(718) 331-2200
Entity
Organization
Contact information
Practice address
6010 BAY PKWY STE 803, BROOKLYN, NY 11204-6081
(718) 331-2200
(718) 331-2202
Mailing address
2361 NOSTRAND AVE STE 901, BROOKLYN, NY 11210-3953
(718) 331-2200
(718) 331-2202
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
032355
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03873943
—
NY
01
—
2144192
PK
—
Enumeration date
01/23/2014
Last updated
06/15/2022
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