Provider Demographics
NPI:1003001934
Name:YI RUI INTERNATIONAL CORP
Entity Type:Organization
Organization Name:YI RUI INTERNATIONAL CORP
Other - Org Name:LINS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BO
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-221-0914
Mailing Address - Street 1:4307 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-3909
Mailing Address - Country:US
Mailing Address - Phone:347-221-0914
Mailing Address - Fax:341-221-0915
Practice Address - Street 1:4307 8TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232-3909
Practice Address - Country:US
Practice Address - Phone:347-221-0914
Practice Address - Fax:341-221-0915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0285333336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2069747OtherPK
NY2921171Medicaid