King Kullen Pharmacy

LBN: King Kullen Pharmacy
King Kullen Pharmacy is an health care organization with primary practice located at 499 Sunrise Hwy Ste 64 , Patchogue NY 11772-2290. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. King Kullen Pharmacy can be contacted via phone (631) 289-0376, or through Hesse, Albert via phone (516) 733-7100.

Contact Information

Primary practice address
499 Sunrise Hwy Ste 64 Patchogue NY 11772-2290
Phone: (631) 289-0376
Fax: (631) 447-8890
Website:
Map and Directions
Authorized official contact:
Name: Hesse, Albert RPH
Phone: (516) 733-7100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 021207 New York

Profile Details

NPI number 1376691329
LBN Legal business name King Kullen Pharmacy
DBA Doing business as
Authorized official Hesse, Albert RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 8th, 2007
Last updated Feb 24th, 2009 - about 15 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 1376691329 NPPES
New York MEDICAID 01343571
New York Other 3320215
New York Other 3320215

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