Healthcare Provider Details

I. General information

NPI: 1578584496
Provider Name (Legal Business Name): K & F DRUG CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 COLLEGE POINT BLVD
COLLEGE POINT NY
11356-2209
US

IV. Provider business mailing address

1507 COLLEGE POINT BLVD
COLLEGE POINT NY
11356-2209
US

V. Phone/Fax

Practice location:
  • Phone: 718-359-1929
  • Fax: 718-445-1985
Mailing address:
  • Phone: 718-359-1929
  • Fax: 718-445-1985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number027477
License Number StateNY

VIII. Authorized Official

Name: MR. PETER KOO
Title or Position: PRESIDENT
Credential: RPH
Phone: 718-961-2931