Provider Demographics
NPI:1225770597
Name:FORTUNE PHARMACY7 INC
Entity Type:Organization
Organization Name:FORTUNE PHARMACY7 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JIAHAO
Authorized Official - Middle Name:
Authorized Official - Last Name:GU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-732-4449
Mailing Address - Street 1:5912 KISSENA BLVD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5546
Mailing Address - Country:US
Mailing Address - Phone:347-732-4449
Mailing Address - Fax:347-732-4494
Practice Address - Street 1:5912 KISSENA BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5546
Practice Address - Country:US
Practice Address - Phone:347-732-4449
Practice Address - Fax:347-732-4494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy