Organization
MEDI SPACE DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC TENG I PHARMACIST (OWNER)
(718) 961-3373
Entity
Organization
Contact information
Practice address
4139 MAIN ST, FLUSHING, NY 11355-3132
(718) 961-3373
(718) 961-3311
Mailing address
4139 MAIN ST, FLUSHING, NY 11355-3132
(718) 961-3373
(718) 961-3311
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
025056
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02161411
—
NY
01
—
3399044
NABP/NCPDP
NY
Enumeration date
03/19/2007
Last updated
12/31/2007
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