| NPI | 1265580229 | 
|---|---|
| Doing Business As | KING KULLEN PHARMACY #11 | 
| Entity Type | Organization | 
| Authorized Contact | ALBERT HESSE Pharmacy COO Rdinator 516-733-7100 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 021969) | 
| Additional Taxonomies | 333600000X Pharmacy | 
| Enumeration Date | 2007-01-08 | 
| Last Update Date | 2017-12-08 |