Organization
KACHEEZ PHARMACY LLC
Active
Other names
KACHEEZ PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ONYEKACHI NWAGERUE (PHARMACY MANAGER)
(954) 296-9345
Entity
Organization
Contact information
Practice address
122 W MOWRY DR, HOMESTEAD, FL 33030-5904
(305) 247-6006
(305) 247-6005
Mailing address
122 W MOWRY DR, HOMESTEAD, FL 33030-5904
(305) 247-6006
(305) 247-6005
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019429700
—
FL
01
—
2164022
PK
—
Enumeration date
09/06/2016
Last updated
03/31/2017
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