Organization
MEDINA PHARMACY INC
Active
Other names
Medina Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FONG CHEUNG (PRESIDENT)
(718) 439-3500
Entity
Organization
Contact information
Practice address
5721 5TH AVE, BROOKLYN, NY 11220-3876
(718) 439-3500
(718) 439-5207
Mailing address
5721 5TH AVE, BROOKLYN, NY 11220-3876
(718) 439-3500
(718) 439-5207
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
018486
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145101
PK
—
Enumeration date
02/06/2007
Last updated
04/14/2026
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