Organization
BALLS REXALL DRUGS
Active
Parent organization
BALLS REXALL DRUGS
Organization subpart
Yes
Provider details
NPI number
Legal business name
BALLS REXALL DRUGS
Authorized official
MR. KENNETH HEIMANN (PRESIDENT)
(352) 726-1021
Entity
Organization
Contact information
Practice address
102 E HIGHLAND BLVD, INVERNESS, FL 34452-4847
(352) 726-1021
(352) 726-4688
Mailing address
214 U.S. HWY 41 SOUTH, INVERNESS, FL 34450
(352) 726-1021
(352) 726-0164
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018484200
—
FL
01
—
0524400001
MEDICARE
FL
Enumeration date
03/13/2019
Last updated
08/04/2020
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