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Organization
KTJ ENTERPRISES, LLC
Active
Organization
KTJ ENTERPRISES, LLC
Active
Other names
Prescription Shop of Stuart
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM E BAMHART PHARM D, R.PH (PHARMACIST)
(561) 870-9672
Entity
Organization
Contact information
Practice address
622 SOUTH COLORADO AVENUE, STUART, FL 34994-3016
(772) 287-3443
(772) 287-0087
Mailing address
622 SOUTH COLORADO AVE, STUART, FL 34994-3016
(772) 287-3443
(772) 287-0087
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PH27423
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010508900
—
FL
01
—
2144038
PK
—
Enumeration date
11/06/2013
Last updated
02/06/2025
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