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Contact Information

KING KULLEN PHARMACIES CORP
2660 HYLAN BLVD
STATEN ISLAND, NY10306
 Phone: 718-979-1005
 Fax: 718-980-5512
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KING KULLEN PHARMACIES CORP

NPI Number 1104099977
LBN Legal business name KING KULLEN PHARMACIES CORP
Authorized official J KENNEDY - (TREASURER DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2008
Last updated 12/30/2008 - About 17 years ago
Identifiers
NY License # 028810
NY Medicaid 02965337
NY Other 3357666 NCPDP
NY Other 3357666 NEPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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