Organization
KAK HEALTHCARE, LLC
Active
Parent organization
KAK HEALTH HOLDINGS, LLC
Other names
Pharm House Drug- Trinity LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAK HEALTH HOLDINGS, LLC
Authorized official
DR. KRISTI ANN KUBOSH PHARMD (OWNER)
(797) 218-4735
Entity
Organization
Contact information
Practice address
485 S ROBB ST., STE B, TRINITY, TX 75862
(936) 594-3593
(936) 594-9681
Mailing address
4941 REIGER AVE, DALLAS, TX 75214
(979) 218-4735
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
31762
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149789
—
TX
01
—
2175858
PK
—
Enumeration date
02/05/2018
Last updated
09/21/2022
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