Organization
SMILE PHARMACY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAE H LEE (PRESIDENT)
(718) 358-3800
Entity
Organization
Contact information
Practice address
15011 NORTHERN BLVD, FLUSHING, NY 11354-3836
(718) 358-3800
Mailing address
15011 NORTHERN BLVD, FLUSHING, NY 11354-3836
(718) 358-3800
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029190
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029190
NY STATE BOARD OF PHARMACY
NY
05
—
03073461
—
NY
Enumeration date
09/20/2008
Last updated
03/10/2009
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