Provider Demographics
NPI:1942730031
Name:CHERRY PHARMACY INC.
Entity Type:Organization
Organization Name:CHERRY PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-353-5001
Mailing Address - Street 1:13440 CHERRY AVE # S1
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4796
Mailing Address - Country:US
Mailing Address - Phone:718-353-5001
Mailing Address - Fax:718-353-8002
Practice Address - Street 1:13440 CHERRY AVE # S1
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4796
Practice Address - Country:US
Practice Address - Phone:718-353-5001
Practice Address - Fax:718-353-8002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-13
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0354923336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy