Organization
COLONIAL DRUGS OF KISSIMMEE, LLC
Active
Other names
Colonial Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTA ADAMS (PRESIDENT)
(407) 344-5588
Entity
Organization
Contact information
Practice address
6912 ALOMA AVE, WINTER PARK, FL 32792-7003
(407) 344-5588
(407) 932-3168
Mailing address
6912 ALOMA AVE, WINTER PARK, FL 32792
(407) 344-5588
(407) 932-3168
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH24126
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026259500
—
FL
Enumeration date
12/15/2005
Last updated
08/10/2020
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