King Kullen Pharmacy #1

LBN: King Kullen Pharmacies Corp
King Kullen Pharmacy #1 is an health care organization with primary practice located at 440 E Sunrise Hwy , Patchogue NY 11772-2254. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. King Kullen Pharmacies Corp can be contacted via phone (631) 758-8292, or through Hesse, Albert via phone (516) 733-7196.

Contact Information

Primary practice address
440 E Sunrise Hwy Patchogue NY 11772-2254
Phone: (631) 758-8292
Fax: (631) 758-0139
Website:
Map and Directions
Authorized official contact:
Name: Hesse, Albert
Phone: (516) 733-7196

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 034329 New York

Profile Details

NPI number 1861419483
LBN Legal business name King Kullen Pharmacies Corp
DBA Doing business as King Kullen Pharmacy #1
Authorized official Hesse, Albert
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Dec 8th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861419483 NPPES
New York MEDICAID 02407849
New York Other 2155991

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