Provider Demographics
NPI:1649513003
Name:FOOKANG PHARMACY , INC.
Entity type:Organization
Organization Name:FOOKANG PHARMACY , INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHIA-LUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:HSIAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-450-2342
Mailing Address - Street 1:139 CENTRE STREET
Mailing Address - Street 2:ROOM 201
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:212-625-8878
Mailing Address - Fax:212-625-8868
Practice Address - Street 1:139 CENTRE STREET
Practice Address - Street 2:ROOM 201
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-0000
Practice Address - Country:US
Practice Address - Phone:212-625-8878
Practice Address - Fax:212-625-8868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0307743336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy