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Organization
LO NG PHARMACY CORP
Active
Organization
LO NG PHARMACY CORP
Active
Other names
Victoria Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA L OR RPH (PHARMACIST)
(718) 886-6200
Entity
Organization
Contact information
Practice address
44-45A KISSENA BLVD, FLUSHING, NY 11355-3055
(718) 886-6200
(718) 886-6687
Mailing address
44-45A KISSENA BLVD, FLUSHING, NY 11355-3055
(718) 886-6200
(718) 886-6687
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
609858320
DRIVER LICENSE
NY
Enumeration date
09/08/2019
Last updated
01/03/2020
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