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Organization

NY88 LLC

Active
Other names
MM Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
TIN FOOK LAM (PRESIDENT)
(718) 799-0999
Entity
Organization

Contact information

Practice address
5737 MAIN ST, FLUSHING, NY 11355-5332
(718) 799-0999
(718) 539-1919
Mailing address
5737 MAIN ST, FLUSHING, NY 11355-5332
(718) 799-0999
(718) 539-1919

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
17031695
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031695
NY
01
5806902
NCPDP
NY
Enumeration date
02/25/2013
Last updated
03/09/2023
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