Organization
SMILE PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAE H LEE RPH (PRESIDENT)
(718) 358-3800
Entity
Organization
Contact information
Practice address
15007 NORTHERN BLVD, FLUSHING, NY 11354-3836
(718) 358-3800
(718) 358-7615
Mailing address
15007 NORTHERN BLVD, FLUSHING, NY 11354-4968
(718) 358-3800
(718) 358-7615
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
020559
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03073461
—
NY
Enumeration date
12/06/2006
Last updated
03/05/2019
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