Organization
KIMS FAMILY PHARMACY INC
Active
Other names
Kim's Family Pharmacy, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CADENHEAD RPH (PRES REG PHARMACIST AND OWNER)
(850) 968-5655
Entity
Organization
Contact information
Practice address
740 N HIGHWAY 29, CANTONMENT, FL 32533-9595
(850) 968-5655
(850) 968-2569
Mailing address
740 N HIGHWAY 29, CANTONMENT, FL 32533-9595
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21568
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031103100
—
FL
01
—
2005373
PK
—
Enumeration date
06/08/2006
Last updated
07/20/2015
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