Organization
ELLNER PLAZA II CORP
Active
Other names
Main Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FRED LATAI (PRESIDENT)
(718) 261-5608
Entity
Organization
Contact information
Practice address
7271 MAIN ST, FLUSHING, NY 11367-2407
(718) 261-5608
(718) 261-5867
Mailing address
7271 MAIN ST, FLUSHING, NY 11367-2407
(718) 261-5608
(718) 261-5867
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034340
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160178
PK
—
Enumeration date
12/29/2015
Last updated
09/19/2025
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