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Organization
UNION ST. PHARMACY
Active
Organization
UNION ST. PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCE S CHEUNG (PRESIDENT / SUPERVISING PHARMACIST)
(718) 321-8830
Entity
Organization
Contact information
Practice address
4170 MAIN ST, A2, FLUSHING, NY 11355-3837
(718) 321-8830
(718) 321-8815
Mailing address
4170 MAIN ST, A2, FLUSHING, NY 11355-3837
(718) 321-8830
(718) 321-8815
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030026
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G300046413
MEDICARE PART B (PHARMACY) PTAN G300046413
NY
Enumeration date
05/28/2010
Last updated
06/27/2011
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