Organization
AC NORTHERN LLC
Active
Other names
AC NORTHERN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KI JULIA PARK RPH (PRESIDENT)
(718) 886-0060
Entity
Organization
Contact information
Practice address
15416 NORTHERN BLVD, FLUSHING, NY 11354-5030
(718) 886-0060
(718) 886-0061
Mailing address
15416 NORTHERN BLVD, FLUSHING, NY 11354-5030
(718) 886-0060
(718) 886-0061
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027294
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02672773
—
NY
01
—
2064717
PK
—
Enumeration date
09/20/2006
Last updated
01/18/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us