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Organization
KINGS BRONX, INC
Active
Organization
KINGS BRONX, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMSUL K BAKAR R.PH. (SUPERVISING PHARMACIST)
(718) 992-6881
Entity
Organization
Contact information
Practice address
545 SAINT PAULS PL, BRONX, NY 10456-2122
(718) 992-6881
(718) 992-0055
Mailing address
545 SAINT PAULS PL, BRONX, NY 10456-2122
(718) 992-6881
(718) 992-0055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044114
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3312458
NCPDP
NY
Enumeration date
12/15/2006
Last updated
11/18/2007
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