Provider Demographics
NPI:1871487157
Name:MAIN STREET DRUGS INC.
Entity type:Organization
Organization Name:MAIN STREET DRUGS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KUN
Authorized Official - Middle Name:SIOUNG
Authorized Official - Last Name:WONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-438-1265
Mailing Address - Street 1:3809 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5517
Mailing Address - Country:US
Mailing Address - Phone:347-438-1265
Mailing Address - Fax:347-368-6746
Practice Address - Street 1:3809 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5517
Practice Address - Country:US
Practice Address - Phone:347-438-1265
Practice Address - Fax:347-368-6746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy