Individual
MR. BANG QUAN CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
215 GRAND ST, BUY RITE PHARMACY FOUR, NEW YORK, NY 10013-4286
(212) 625-9505
(212) 625-9509
Mailing address
215 GRAND ST, BUY RITE PHARMACY FOUR, NEW YORK, NY 10013-4286
(212) 625-9505
(212) 625-9509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
047725
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3352363
NCPDP
NY
Enumeration date
11/02/2006
Last updated
07/08/2007
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