Provider Demographics
NPI:1437846581
Name:MANNER LLC
Entity Type:Organization
Organization Name:MANNER LLC
Other - Org Name:MANNER CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZE DONG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-232-9503
Mailing Address - Street 1:14803 34TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-3743
Mailing Address - Country:US
Mailing Address - Phone:212-884-1210
Mailing Address - Fax:212-884-1216
Practice Address - Street 1:14803 34TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-3743
Practice Address - Country:US
Practice Address - Phone:212-884-1210
Practice Address - Fax:212-884-1216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-19
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy