Healthcare Provider Details
I. General information
NPI: 1326884032
Provider Name (Legal Business Name): CONFUCIUS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2024
Last Update Date: 07/02/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7 BOWERY ST STORE A-104
NEW YORK NY
10002-6702
US
IV. Provider business mailing address
7 BOWERY ST STORE A-104
NEW YORK NY
10002-6702
US
V. Phone/Fax
- Phone: 212-966-4420
- Fax: 212-966-5981
- Phone: 212-966-4420
- Fax: 212-966-5981
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERNIE
C
NG
Title or Position: PRESIDENT
Credential:
Phone: 347-551-3356