# MAPLE PARK PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558956805
- **Authorized official:** WEIQUAN LIANG (OWNER)
- **Authorized official phone:** (148) 298-2739

## Contact information

- **Practice address:** 4260 KISSENA BLVD FL 1, FLUSHING, NY 11355-3213
- **Practice address phone:** (914) 829-8273
- **Practice address fax:** (914) 829-8279
- **Mailing address:** 4260 KISSENA BLVD FL 1, FLUSHING, NY 11355-3213
- **Mailing address phone:** (914) 829-8273
- **Mailing address fax:** (914) 829-8279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2021
- **Last updated:** 03/08/2021