Provider Demographics
NPI:1508367863
Name:NYC APOTHECARY INC
Entity Type:Organization
Organization Name:NYC APOTHECARY INC
Other - Org Name:APOTHECARY NYC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KWOK
Authorized Official - Middle Name:KUEN
Authorized Official - Last Name:CHONG
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:646-221-4833
Mailing Address - Street 1:21523 15TH RD
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-1213
Mailing Address - Country:US
Mailing Address - Phone:646-221-4833
Mailing Address - Fax:
Practice Address - Street 1:333 W 57TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3159
Practice Address - Country:US
Practice Address - Phone:212-672-0533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-22
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy