Organization
JUAN AND JOHN DRUGS
Active
Organization
JUAN AND JOHN DRUGS
Active
Other names
K AND M Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
HAITHAM KAKI PHARM D. (OWNER, PRESIDENT)
(863) 983-7277
Entity
Organization
Contact information
Practice address
340 E SUGARLAND HWY, STE A, CLEWISTON, FL 33440-3124
(863) 983-7277
(863) 983-7229
Mailing address
340 E SUGARLAND HWY, STE H, CLEWISTON, FL 33440-3124
(863) 983-7277
(863) 983-7229
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH13907
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103463400
—
FL
01
—
2009844
PK
—
Enumeration date
12/26/2006
Last updated
10/11/2019
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