Organization
THE KINGS DRUGSTORE
Active
Organization
THE KINGS DRUGSTORE
Active
Other names
5th Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAIR L KUHLEWIND RPH (VICE PRESIDENT)
(863) 763-3222
Entity
Organization
Contact information
Practice address
105 NW 5 STREET, OKEECHOBEE, FL 34972
(863) 763-3222
(863) 763-8247
Mailing address
105 NW 5 STREET, OKEECHOBEE, FL 34972
(863) 763-3222
(863) 763-8247
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH10714
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100596100
—
FL
01
—
1062405
NCPDP #
FL
Enumeration date
09/28/2006
Last updated
03/07/2023
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