# EZ FILL PHARMACY INC

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

## Provider details

- **NPI number:** 1942727862
- **Authorized official:** SHALOM SAM KIKOV (PRESIDENT)
- **Authorized official phone:** (718) 261-5802

## Contact information

- **Practice address:** 7537 MAIN ST, FLUSHING, NY 11367-3136
- **Practice address phone:** (718) 268-5802
- **Practice address fax:** (718) 268-5804
- **Mailing address:** 7537 MAIN ST, FLUSHING, NY 11367-3136
- **Mailing address phone:** (718) 268-5802
- **Mailing address fax:** (718) 268-5804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/23/2017
- **Last updated:** 07/21/2022