Organization
PREMIUM PHARMACY 2 INC
Active
Other names
premium pharmacy 2
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA SIU (PRESIDENT)
(718) 886-7178
Entity
Organization
Contact information
Practice address
3720 MAIN ST, FLUSHING, NY 11354-4107
(718) 886-7178
Mailing address
3720 MAIN ST, FLUSHING, NY 11354-4107
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
035403
NY
Other
Enumeration date
06/27/2017
Last updated
03/19/2024
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