Provider Demographics
NPI:1902514722
Name:100 CARE PHARMACY INC
Entity Type:Organization
Organization Name:100 CARE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHENG
Authorized Official - Middle Name:
Authorized Official - Last Name:SIUKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-799-0138
Mailing Address - Street 1:3642 UNION ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-6552
Mailing Address - Country:US
Mailing Address - Phone:718-799-0138
Mailing Address - Fax:718-799-0626
Practice Address - Street 1:3642 UNION ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-6552
Practice Address - Country:US
Practice Address - Phone:718-799-0138
Practice Address - Fax:718-799-0626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy