King Kullen Pharmacy
LBN: King Kullen Pharmacy
King Kullen Pharmacy is an health care organization with primary practice located at 120 Veterans Memorial Hwy , Commack NY 11725-3432. 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) 864-3085, or through Hesse, Albert via phone (516) 733-7100.
Contact Information
Primary practice address
120 Veterans Memorial Hwy
Commack NY 11725-3432
Phone: (631) 864-3085
Fax: (631) 864-3085
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 023307 | New York |
Profile Details
NPI number | 1447308408 |
---|---|
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447308408 | NPPES |
Other | 3331775 | OTHER ID NUMBER | |
Other | 3331775 | OTHER ID NUMBER | |
MEDICAID | 01787966 | OTHER ID NUMBER |
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