Organization
AC MAIN CORP
Active
Other names
AC MAIN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KI PARK RPH (PRES)
(718) 539-3344
Entity
Organization
Contact information
Practice address
41 92 MAIN ST, FLUSHING, NY 11355-3893
(718) 539-3344
(718) 445-1105
Mailing address
41 92 MAIN ST, FLUSHING, NY 11355-3893
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022177
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01496446
—
NY
01
—
3348477
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/07/2006
Last updated
03/10/2008
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