Organization
KING KULLEN PHARMACIES CORP
Active
Other names
KING KULLEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT HESSE RPH (PHARMACY COORDINATOR)
(516) 733-7100
Entity
Organization
Contact information
Practice address
307 INDEPENDENCE PLZ, SELDEN, NY 11784-2400
(631) 698-8071
(631) 698-8523
Mailing address
KING KULLEN GROCERY CO IN, 185 CENTRAL AVE DEPT 1030, BETHPAGE, NY 11714-3929
(516) 733-7100
(516) 827-6325
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021458
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01417427
—
NY
01
—
2064309
PK
—
Enumeration date
01/08/2007
Last updated
09/28/2016
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