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Organization

SEOUL PHARMACY INC

Active
Other names
Seoul Pharmacy Inc
Organization subpart
No

Provider details

NPI number
Authorized official
HYUN CHAN CHO (OWNER/PRESIDENT/PIC/AO)
(857) 264-9511
Entity
Organization

Contact information

Practice address
14903 NORTHERN BLVD, FLUSHING, NY 11354-4342
(718) 888-0101
(718) 358-0070
Mailing address
14903 NORTHERN BLVD, FLUSHING, NY 11354-4342
(718) 888-0101
(718) 358-0070

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
036637
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2177558
PK
01
7696750001
PTAN
NY
Enumeration date
04/19/2018
Last updated
10/12/2018
About Stedi
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  • EDI platform