Healthcare Provider Details

I. General information

NPI: 1780466946
Provider Name (Legal Business Name): ROK PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2023
Last Update Date: 10/20/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13505 38TH AVE STE 1A
FLUSHING NY
11354-4467
US

IV. Provider business mailing address

13505 38TH AVE STE 1A
FLUSHING NY
11354-4467
US

V. Phone/Fax

Practice location:
  • Phone: 212-375-6609
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MISS HUI NA FANG
Title or Position: PRESIDENT
Credential:
Phone: 212-375-6609