Organization
KMS PHARMACY INC
Active
Other names
Woodside Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUVASINI PATEL (PRESIDENT)
(718) 205-0550
Entity
Organization
Contact information
Practice address
4902 QUEENS BLVD, WOODSIDE, NY 11377-4444
(718) 205-0550
(718) 205-0551
Mailing address
4902 QUEENS BLVD, WOODSIDE, NY 11377-4444
(718) 205-0550
(718) 205-0551
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
031004
NY
Other
Enumeration date
11/30/2011
Last updated
12/01/2011
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