Roosevelt Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Flushing, NY. Organization (NPI-2).
NPI number1861880296
StatusActive
Last updated in NPPESMay 28, 2025
Details
- NPI
- 1861880296
- Entity type
- Organization (NPI-2)
- Legal business name
- Roosevelt Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Jan 8, 2015
- Certification date
- May 28, 2025
- Last updated
- May 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | NY | Yes |
Practice location
13355 Roosevelt AveFlushing, NY 11354-5254
Phone 718-888-1500 · Fax 718-358-3600
Mailing address
13355 Roosevelt AveFlushing, NY 11354-5254
Phone 718-888-1500 · Fax 718-358-3600
Authorized official
Hengda Liu
Owner
7188881500
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