Organization
KING KULLEN PHARMACIES CORP
Active
Parent organization
KING KULLEN GROCERY CO. INC.
Other names
King Kullen Pharmacy #37
Organization subpart
Yes
Provider details
NPI number
Legal business name
KING KULLEN GROCERY CO. INC.
Authorized official
ALBERT HESSE RPH (PHARMACY COORDINATOR)
(516) 733-7100
Entity
Organization
Contact information
Practice address
1235 MIDDLE COUNTRY RD, MIDDLE ISLAND, NY 11953-2515
(631) 924-0684
(631) 924-0722
Mailing address
185 CENTRAL AVE DEPT 1030, KING KULLEN GROCERY CO INC, BETHPAGE, NY 11714-3929
(516) 733-7100
(516) 827-6263
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020818
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01235978
—
NY
01
—
3397999
OTHER ID NUMBER
—
Enumeration date
03/01/2007
Last updated
12/08/2017
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