Provider Demographics
NPI:1750423604
Name:CHEUNG LEE PHARMACY INC.
Entity type:Organization
Organization Name:CHEUNG LEE PHARMACY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YUEN
Authorized Official - Middle Name:KWONG
Authorized Official - Last Name:YIP
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:212-406-3700
Mailing Address - Street 1:352 -HALF GREENWICH STREET
Mailing Address - Street 2:
Mailing Address - City:NYC
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:212-406-3700
Mailing Address - Fax:
Practice Address - Street 1:352 -HALF GREENWICH STREET
Practice Address - Street 2:
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10013
Practice Address - Country:US
Practice Address - Phone:212-406-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018776333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00722629Medicaid
NY3374573OtherNAPB