Organization
NEKO PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY WONG PHARMD (SUPERVISING PHARMACIST)
(718) 259-1029
Entity
Organization
Contact information
Practice address
6223 18TH AVE, BROOKLYN, NY 11204-2902
(718) 259-1029
Mailing address
6223 18TH AVE, BROOKLYN, NY 11204-2902
(718) 259-1029
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
035558
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035558
NYS EDUCATION DEPT OFFICE OF PROFESSIONS
NY
Enumeration date
09/29/2017
Last updated
07/21/2022
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