Organization
KNIGHT AIDE
Active
Other names
KNIGHT AIDE
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL GAMBLE RPH (PHCY DIRECTOR)
(407) 823-6084
Entity
Organization
Contact information
Practice address
4000 CENTRAL FLORIDA BLVD, BLDG 137 STE K, ORLANDO, FL 32816-8005
(407) 882-0600
(407) 882-0603
Mailing address
4000 CENTRAL FLORIDA BLVD, BLDG 137 STE K, ORLANDO, FL 32816-8005
(407) 882-0600
(407) 882-0603
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH23039
FL
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008835500
—
FL
01
—
2010262
PK
—
Enumeration date
01/02/2008
Last updated
12/08/2016
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