Organization
KING KULLEN PHARMACIES CORP
Active
Other names
King Kullen Pharmacy #1
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT HESSE (DIRECTOR OF PHARMACY)
(516) 733-7196
Entity
Organization
Contact information
Practice address
440 E SUNRISE HWY, PATCHOGUE, NY 11772-2254
(631) 758-8292
(631) 758-0139
Mailing address
440 E SUNRISE HWY, PATCHOGUE, NY 11772-2254
(631) 758-8292
(631) 758-0139
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
034329
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02407849
—
NY
01
—
2155991
PK
—
Enumeration date
07/17/2006
Last updated
12/08/2017
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