Organization
BK PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHELDON KONG PHARM.D (PRESIDENT/PHARM.D)
(559) 325-6581
Entity
Organization
Contact information
Practice address
1129 W 4TH ST, #A, MADERA, CA 93637-4477
(559) 675-1688
(559) 661-6474
Mailing address
7509 N WILLOW AVE STE 105, FRESNO, CA 93720-0345
(559) 325-6581
(559) 325-6627
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHY50428
CA
333600000X
Pharmacy
Primary
PHY50428
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306830609
—
CA
Enumeration date
09/01/2005
Last updated
08/22/2023
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