Organization
KEN DRUGS, INC.
Active
Other names
Pinehills Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH O SHOBOLA R. PH (CEO)
(813) 426-5419
Entity
Organization
Contact information
Practice address
4525 N PINE HILLS RD, ORLANDO, FL 32808-1952
(407) 425-2615
(407) 423-1648
Mailing address
PO BOX 15779, TAMPA, FL 33684-5779
(813) 348-0095
(813) 872-6591
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22116
FL
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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