Organization
KANEDA PHARMACY, LLC
Active
Other names
Kaneda Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC TENG (SUPERVISING PHARMACIST)
(718) 888-1489
Entity
Organization
Contact information
Practice address
4032 UNION ST, FLUSHING, NY 11354-6044
(718) 888-1489
(718) 888-0474
Mailing address
4032 UNION ST, FLUSHING, NY 11354-6044
(718) 888-1489
(718) 888-0474
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
033048
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04147302
—
NY
01
—
2147937
PK
—
Enumeration date
09/09/2014
Last updated
02/28/2017
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