Individual ProviderMary Kim-ToroPharmacistPharmacy Service ProvidersPractice Address168 Montague St, Brooklyn, NY 11201-3615(718) 522-2991PECOS EnrollmentBased on the most recent information from CMS, provider Mary Kim-Toro does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1770763963Provider TypeIndividualFull NameKim-Toro, MaryTitleMrs.CredentialRPHGenderFemaleSole ProprietorNoEnumeration Date11/6/2007Last Updated11/6/2007Contact InformationPractice LocationPractice Address168 Montague St, Brooklyn, NY 11201-3615Phone(718) 522-2991Fax(718) 625-9259Mailing LocationMailing Address168 Montague St, Brooklyn, NY 11201-3615Phone(718) 522-2991Fax(718) 625-9259Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense042390-1New YorkProvider IdentifiersIDDescriptionIssuerID01562427DescriptionMedicaidIssuerUnlistedNew York