Organization
QUEENS COMMUNITY EXPRESS PHARMACY INC
Active
Other names
QUEENS COMMUNITY EXPRESS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR KHAN (OWNER)
(718) 206-9096
Entity
Organization
Contact information
Practice address
168 12 HILLSIDE AVE, JAMAICA, NY 11432
(718) 206-9096
(718) 206-9097
Mailing address
168 12 HILLSIDE AVE, JAMAICA, NY 11432
(718) 206-9096
(718) 206-9097
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028540
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02926387
—
NY
01
—
3355585
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/27/2007
Last updated
05/03/2011
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