Organization
KING KULLEN PHARMACY
Active
Parent organization
KING KULLEN PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
KING KULLEN PHARMACY
Authorized official
ALBERT HESSE RPH (PHARMACY COORDINATOR)
(516) 733-7100
Entity
Organization
Contact information
Practice address
499 SUNRISE HWY STE 64, PATCHOGUE, NY 11772-2290
(631) 289-0376
(631) 447-8890
Mailing address
KING KULLEN GROCERY CO INC, 185 CENTRAL AVE DEPT 1030, BETHPAGE, NY 11714-3929
(516) 733-7100
(516) 827-6263
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021207
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01343571
—
NY
01
—
3320215
OTHER ID NUMBER
—
Enumeration date
01/08/2007
Last updated
02/24/2009
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