Organization
QUEENS EXPRESS PHARMACY CORP
Active
Other names
QUEENS EXPRESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WANAS KHALIL (OWNER)
(718) 565-1009
Entity
Organization
Contact information
Practice address
3454 JUNCTION BLVD, JACKSON HEIGHTS, NY 11372-3829
(718) 565-1005
(718) 565-1004
Mailing address
3454 JUNCTION BLVD, JACKSON HEIGHTS, NY 11372-3829
(718) 565-1005
(718) 565-1004
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
028747
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2070136
PK
—
05
—
2957880
—
NY
Enumeration date
02/19/2008
Last updated
03/08/2018
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