Organization
ROOSEVELT PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENGDA LIU (OWNER)
(718) 888-1500
Entity
Organization
Contact information
Practice address
13355 ROOSEVELT AVE, FLUSHING, NY 11354-5254
(718) 888-1500
(718) 358-3600
Mailing address
13355 ROOSEVELT AVE, FLUSHING, NY 11354-5254
(718) 888-1500
(718) 358-3600
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04123906
—
NY
Enumeration date
01/08/2015
Last updated
05/28/2025
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