MEDICARE: K & S DRUG & SURGICAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	28RS00426300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3109267	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER
3	3109267	OTHER	OTHER ID NUMBER

General Provider Information

NPI Number	:	1720144090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K & S DRUG & SURGICAL INC

Provider Business Mailing Address
First Line	:	266 COLUMBIA AVE
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-4125
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	266 COLUMBIA AVE
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-4125
Country	:	US
Telephone Number	:	201-886-9191
Fax Number	:	201-886-2101

Authorized Official
Title or Position	:	OWNER PRESIDENT & PHARM IN CHARGE
Name	:	MR. KHOREN O NALBANDIAN
Credential	:
Telephone Number	:	201-886-9191

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	07/16/2008

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Directions to “K & S DRUG & SURGICAL INC ” Practice Location

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