Organization
SKILLMAN AVENUE PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEE KWON (OWNER)
(917) 349-4095
Entity
Organization
Contact information
Practice address
5112 SKILLMAN AVE, WOODSIDE, NY 11377-4158
(718) 565-5454
(718) 565-5959
Mailing address
5112 SKILLMAN AVE, WOODSIDE, NY 11377-4158
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/15/2013
Last updated
11/28/2025
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