Organization
KING KULLEN PHARMACIES CORP
Active
Parent organization
KING KULLEN GROCERY CO. INC.
Other names
King Kullen Pharmacy #3
Organization subpart
Yes
Provider details
NPI number
Legal business name
KING KULLEN GROCERY CO. INC.
Authorized official
ALBERT HESSE (PHCY COORDINATOR)
(516) 733-7196
Entity
Organization
Contact information
Practice address
31525 MAIN RD, CUTCHOGUE, NY 11935-1343
(631) 734-7733
(631) 734-2193
Mailing address
KING KULLEN GROCERY CO INC, 185 CENTRAL AVE DEPT 1030, BETHPAGE, NY 11714-3929
(516) 733-7100
(516) 827-6263
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
018363
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00861885
—
NY
01
—
018363
NY STATE PHARMACY LICENSE NUMBER
NY
01
—
3381249
NCPDP NUMBER
—
Enumeration date
01/08/2007
Last updated
12/08/2017
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