Healthcare Provider Details

I. General information

NPI: 1073534988
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: 06/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4116 MAIN ST
FLUSHING NY
11355-3133
US

IV. Provider business mailing address

4116 MAIN ST
FLUSHING NY
11355-3133
US

V. Phone/Fax

Practice location:
  • Phone: 718-886-1031
  • Fax: 718-886-0551
Mailing address:
  • Phone: 718-886-1031
  • Fax: 718-886-0551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number021064
License Number StateNY

VIII. Authorized Official

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