King Kullen Pharmacies Corp
Pharmacy in Bethpage, NY. Organization (NPI-2).
NPI number1104128693
StatusActive
Last updated in NPPESDec 3, 2010
Details
- NPI
- 1104128693
- Entity type
- Organization (NPI-2)
- Legal business name
- King Kullen Pharmacies Corp
- Organization subpart
- Yes
- Enumeration date
- Dec 3, 2010
- Last updated
- Dec 3, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 018363 | NY | Yes |
Practice location
185 Central AveBethpage, NY 11714-3927
Phone 516-733-7100 · Fax 516-827-6263
Mailing address
185 Central AveBethpage, NY 11714-3927
Phone 516-733-7100 · Fax 516-827-6263
Authorized official
Albert W Hesse
Director Of Pharmacy
5167337196
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