# BK PHARMACY CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770649048
- **Authorized official:** MR. SHELDON KONG PHARM.D (PRESIDENT/PHARM.D)
- **Authorized official phone:** (559) 325-6581

## Contact information

- **Practice address:** 7509 N WILLOW AVE STE 105, FRESNO, CA 93720-0345
- **Practice address phone:** (559) 325-6581
- **Practice address fax:** (559) 438-0118
- **Mailing address:** 540 E HERNDON AVE, SUITE 101, FRESNO, CA 93720-2993
- **Mailing address phone:** (559) 438-9888
- **Mailing address fax:** (559) 438-0118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PHY50429 | CA | — |
| 333600000X | Pharmacy | PHY50429 | CA | — |
| 3336L0003X | Long Term Care Pharmacy | PHY50429 | CA | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 08/22/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1770649048 | — | CA |
| 01 | — | 5625009 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |