Organization
FULTON MALL PHARMACY INC
Active
Other names
Fulton Mall pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SHALOM KIKOV (PRESIDENT/SUPERVISING RPH)
(718) 855-7979
Entity
Organization
Contact information
Practice address
540 FULTON ST, BROOKLYN, NY 11201-5308
(718) 855-7979
(718) 855-1123
Mailing address
540 FULTON ST, BROOKLYN, NY 11201-5308
(718) 855-7979
(718) 855-1123
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
031313
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5805619
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/10/2012
Last updated
07/23/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us