NPI 1013232578

Premium Pharmacy INC

Organisation Community/Retail Pharmacy Flushing, NY

Practice location

Address: 4110a Main St, Flushing, NY 11355-3167
Phone: (718) 886-7128
Fax: (718) 886-7138

Authorised official

Name: Johnny Luo
Title: Pharmacy Manager
Phone: (718) 886-7128

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 030059 (NY)

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Registry record

NPI: 1013232578
Entity type: Organization
NPI issued: 28 Mar 2010
Record last updated: 10 Nov 2010

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.