Provider Demographics
NPI:1841668092
Name:KING COMMUNITY PHARMACY INC.
Entity type:Organization
Organization Name:KING COMMUNITY PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GM
Authorized Official - Prefix:
Authorized Official - First Name:SUMBAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ASIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-899-8020
Mailing Address - Street 1:161 DREISER LOOP
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-2703
Mailing Address - Country:US
Mailing Address - Phone:347-899-8020
Mailing Address - Fax:
Practice Address - Street 1:161 DREISER LOOP
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-2703
Practice Address - Country:US
Practice Address - Phone:347-899-8020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-04
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0609153336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy