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Organization
MIDDLE VILLAGE PHARMACY
Active
Organization
MIDDLE VILLAGE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAUSTINE MAI LUU R.P.H (SUPERVISOR PHARMACIST)
(718) 326-3072
Entity
Organization
Contact information
Practice address
7404 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379-2637
(718) 326-3702
(718) 326-3059
Mailing address
7404 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379-2637
(718) 326-3702
(718) 326-3059
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042918-1
NY
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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