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Organization

NY81 LLC

Active
Other names
Horizon Pharmacy III
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS LI (PHARMACY SUPERVISOR)
(646) 258-4558
Entity
Organization

Contact information

Practice address
8114 BROADWAY, ELMHURST, NY 11373-2450
(718) 803-1188
(718) 803-1180
Mailing address
8114 BROADWAY, ELMHURST, NY 11373-2450
(718) 803-1188
(718) 803-1180

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
031382
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03488759
NY
01
2135874
PK
Enumeration date
06/11/2012
Last updated
08/10/2016
About Stedi
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