NPI | 1265583272 |
---|---|
Doing Business As | KEN DRUGS PINE HILLS DISCOUNT PHARMACY |
Entity Type | Organization |
Authorized Contact | KENNETH O SHOBOLA CEO 813-426-5419 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH22116) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2020-08-22 |