Organization
BK PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHELDON KONG PHARM.D (PRESIDENT/PHARM.D)
(559) 438-9888
Entity
Organization
Contact information
Practice address
540 E HERNDON AVE, #103, FRESNO, CA 93720-2993
(559) 438-2888
(559) 438-0711
Mailing address
540 E HERNDON AVE, SUITE 101, FRESNO, CA 93720-2993
(559) 438-9888
(559) 438-0118
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHY50430
CA
333600000X
Pharmacy
PHY50430
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY50430
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5628524
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/23/2007
Last updated
02/14/2012
Update your record
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