Organization
NY41 LLC
Active
Other names
Horizon Pharmacy IV
Organization subpart
No
Provider details
NPI number
Authorized official
WEIQUAN LIANG (SUPERVISING PHARMACIST)
(718) 359-8881
Entity
Organization
Contact information
Practice address
4146 MAIN ST, FLUSHING, NY 11355-3183
(718) 359-8881
(718) 359-8871
Mailing address
4146 MAIN ST, FLUSHING, NY 11355-3183
(718) 359-8881
(718) 359-8871
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031527
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5806180
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/06/2012
Last updated
12/06/2016
About Stedi
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