Organization
ICON PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIT CHEANG (PRESIDENT)
(718) 886-3082
Entity
Organization
Contact information
Practice address
4173B BOWNE ST, FLUSHING, NY 11355
(718) 886-3082
(718) 886-3137
Mailing address
4173B BOWNE ST, FLUSHING, NY 11355
(718) 886-3082
(718) 886-3137
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
033844
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04353137
—
NY
Enumeration date
08/19/2015
Last updated
06/20/2019
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