Organization
KCAID PHARMACY INC
Active
Parent organization
KCAID PHARMACY INC
Other names
Preferred Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
KCAID PHARMACY INC
Authorized official
JIM KOZLIK (MANAGING DIRECTOR)
(718) 872-7717
Entity
Organization
Contact information
Practice address
1771 BROADWAY, BROOKLYN, NY 11207-1611
(718) 872-7717
Mailing address
1771 BROADWAY, BROOKLYN, NY 11207-1611
(718) 872-7717
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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