Organization
FREYA PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOOK CHA KIM RPH (PHARMACIST IN CHARGE)
(347) 649-2525
Entity
Organization
Contact information
Practice address
10119 39TH AVE, CORONA, NY 11368-4806
(347) 649-2525
Mailing address
10119 39TH AVE, CORONA, NY 11368-4806
(347) 649-2525
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
030463
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030463
REGISTRATION
NY
Enumeration date
01/20/2011
Last updated
11/03/2011
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