Organization
KINGS PHARMACY LLC
Active
Other names
Kings Pharmacy & Surgical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE E. MALEK R.PH. (PRESIDENT)
(973) 482-1556
Entity
Organization
Contact information
Practice address
33 PARK AVE, NEWARK, NJ 07104-1043
(973) 482-1556
(973) 482-1594
Mailing address
PO BOX 304, CEDAR GROVE, NJ 07009-0304
(973) 482-1556
(973) 482-1594
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
28RS00528200
NJ
3336L0003X
Long Term Care Pharmacy
28RS00528200
NJ
3336S0011X
Specialty Pharmacy
Primary
28RS00528200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6867103
—
NJ
05
—
6867111
—
NJ
Enumeration date
09/17/2006
Last updated
06/12/2013
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