Provider Demographics
NPI:1982947420
Name:BK PHARMACY INC
Entity Type:Organization
Organization Name:BK PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:SUBRAMONY
Authorized Official - Middle Name:N
Authorized Official - Last Name:IYER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:646-207-0574
Mailing Address - Street 1:1675 FLATBUSH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3946
Mailing Address - Country:US
Mailing Address - Phone:347-462-4662
Mailing Address - Fax:347-642-4664
Practice Address - Street 1:1675 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3946
Practice Address - Country:US
Practice Address - Phone:347-462-4662
Practice Address - Fax:347-462-4664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY39305333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy