NPI 1003108663

Medi-Space Pharma INC

Organisation Pharmacy Flushing, NY

Practice location

Address: 4139 Main St, Flushing, NY 11355-3132
Phone: (718) 961-3373
Fax: (718) 961-3311

Authorised official

Name: Hilton Cheung
Title: President
Phone: (718) 961-3373

Registered specialties

Pharmacy Primary

Suppliers Taxonomy 333600000X Licence 030843 (NY)

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Registry record

NPI: 1003108663
Entity type: Organization
NPI issued: 13 May 2011
Record last updated: 6 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.