Organization
KINGS PHARMACY INC
Active
Other names
New York Ave Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE BISSAH (SUPERVISING PHARMACIST)
(718) 856-8048
Entity
Organization
Contact information
Practice address
3424 CHURCH AVE, BROOKLYN, NY 11203-2714
(718) 856-8048
(718) 469-0424
Mailing address
3424 CHURCH AVE, BROOKLYN, NY 11203-2714
(718) 856-8048
(718) 469-0424
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034289
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04376876
—
NY
01
—
2157644
PK
—
Enumeration date
11/24/2015
Last updated
03/03/2023
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