Organization
KABS OF BRANDON INC
Active
Organization
KABS OF BRANDON INC
Active
Other names
KABS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROSSANA R VILAR (PRESIDENT)
(786) 200-8059
Entity
Organization
Contact information
Practice address
759 W BRANDON BLVD, BRANDON, FL 33511-4901
(813) 413-8362
(813) 413-8370
Mailing address
759 W BRANDON BLVD, BRANDON, FL 33511-4901
(813) 413-8362
(813) 413-8370
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23179
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000608700
—
FL
01
—
2010760
PK
—
Enumeration date
02/28/2008
Last updated
09/28/2018
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