Healthcare Provider Details

I. General information

NPI: 1801989231
Provider Name (Legal Business Name): HANA PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2926 UNION ST
FLUSHING NY
11354-2201
US

IV. Provider business mailing address

2926 UNION ST
FLUSHING NY
11354-2201
US

V. Phone/Fax

Practice location:
  • Phone: 718-359-3373
  • Fax: 718-321-8647
Mailing address:
  • Phone: 718-359-3373
  • Fax: 718-321-8647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number025048
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MYEONGHA JO
Title or Position: OWNER
Credential:
Phone: 718-359-3373