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
7509 N WILLOW AVE STE 105, FRESNO, CA 93720-0345
(559) 325-6581
(559) 438-0118
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
PHY50429
CA
333600000X
Pharmacy
PHY50429
CA
3336L0003X
Long Term Care Pharmacy
Primary
PHY50429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770649048
—
CA
01
—
5625009
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/29/2006
Last updated
08/22/2023
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