Whalio Doctors

NPI 1013180884

King Kullen Pharmacies Corp

Organisation Community/Retail Pharmacy Staten Island, NY

Practice location

Address
1441 Richmond Ave, Staten Island, NY 10314
Phone
(718) 698-2632
Fax
(718) 698-1945
Mailing address
185 Central Ave, Bethpage, NY 11714

Authorised official

Name
J Donald Kennedy
Title
Treasurer Director
Phone
(516) 733-7147

Registered specialties

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 028812 (NY)

Registry record

NPI
1013180884
Entity type
Organization
NPI issued
11 Apr 2008
Record last updated
30 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.