Provider Demographics
NPI:1851333157
Name:EQUAL CARE PHARMACY INC
Entity Type:Organization
Organization Name:EQUAL CARE PHARMACY INC
Other - Org Name:EQUAL CARE PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP/AO
Authorized Official - Prefix:
Authorized Official - First Name:YEUK
Authorized Official - Middle Name:
Authorized Official - Last Name:NG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-228-6137
Mailing Address - Street 1:753 E 5TH ST # STREETA
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-1274
Mailing Address - Country:US
Mailing Address - Phone:212-228-6137
Mailing Address - Fax:212-228-6327
Practice Address - Street 1:753 E 5TH ST # STREETA
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-1274
Practice Address - Country:US
Practice Address - Phone:212-228-6137
Practice Address - Fax:212-228-6327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0274863336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2066258OtherPK
NY2703868Medicaid
5536740001Medicare NSC