Organization
SHOPONLINE PHARMACY INC
Active
Other names
value healthcare pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER WONG RPH (SUPERVISING PHARMACIST)
(718) 497-4121
Entity
Organization
Contact information
Practice address
6126 COOPER AVE, GLENDALE, NY 11385-6115
(718) 497-4121
(718) 497-2826
Mailing address
6126 COOPER AVE, GLENDALE, NY 11385-6115
(718) 497-4121
(718) 497-2826
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
025043
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02182910
—
NY
01
—
3321750
NABP
NY
Enumeration date
07/14/2006
Last updated
08/22/2020
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