Organization
IGLESIA BAUTISTA CENTRAL DE KISSIMMEE, INC.
Active
Other names
IBCK Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN O GONZALEZ (EXECUTIVE DIRECTOR)
(407) 348-2060
Entity
Organization
Contact information
Practice address
1420 SIMPSON RD, KISSIMMEE, FL 34744-4600
(407) 348-2060
(407) 348-2063
Mailing address
1420 SIMPSON RD, KISSIMMEE, FL 34744-4600
(407) 348-2060
(407) 348-2063
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/04/2016
Last updated
07/20/2016
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