Provider Demographics
NPI:1609396621
Name:LK PHARMACY INC
Entity Type:Organization
Organization Name:LK PHARMACY INC
Other - Org Name:BEST CARE PHARMACY II
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YONG
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-292-4114
Mailing Address - Street 1:269 S 52ND ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19139-4108
Mailing Address - Country:US
Mailing Address - Phone:267-292-4114
Mailing Address - Fax:267-292-4152
Practice Address - Street 1:269 S 52ND ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19139-4108
Practice Address - Country:US
Practice Address - Phone:267-292-4114
Practice Address - Fax:267-292-4152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4827313336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy