Organization
KHK OPERATING CORP
Active
Other names
Gusar's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMIL MOTL (SUPERVISING PHARMACIST)
(845) 794-5757
Entity
Organization
Contact information
Practice address
458 BROADWAY, MONTICELLO, NY 12701-1732
(845) 794-5757
(845) 794-3570
Mailing address
458 BROADWAY, MONTICELLO, NY 12701-1732
(845) 794-5757
(845) 794-3570
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
021919
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01442511
—
NY
01
—
3341435
NABP
NY
Enumeration date
11/28/2005
Last updated
02/05/2008
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