Organization
KING KULLEN PHARMACIES CORP
Active
Other names
KING KULLEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J DONALD KENNEDY (TREASURER DIRECTOR)
(516) 733-7147
Entity
Organization
Contact information
Practice address
2660 HYLAN BLVD, STATEN ISLAND, NY 10306
(718) 979-1005
(718) 980-5512
Mailing address
185 CENTRAL AVE, BETHPAGE, NY 11714
(516) 733-7196
(516) 827-8263
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028810
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02965337
—
NY
01
—
3357666
NCPDP
NY
Enumeration date
04/11/2008
Last updated
12/30/2008
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