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Organization
Y S DRUG STORE, INC
Active
Organization
Y S DRUG STORE, INC
Active
Other names
LEWIS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAE GON KIM (OWNER)
(347) 542-9766
Entity
Organization
Contact information
Practice address
13654 39TH AVE, FLUSHING, NY 11354-5516
(718) 461-5500
(718) 461-5501
Mailing address
13654 39TH AVE, FLUSHING, NY 11354-5516
(718) 461-5500
(718) 461-5501
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00712496
—
NY
01
—
3330898
NCPDP
—
Enumeration date
06/08/2007
Last updated
05/06/2025
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