Organization
COLONIAL DRUGS OF KISSIMMEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMKRISHNA PATEL (OWNER)
(407) 344-5588
Entity
Organization
Contact information
Practice address
728 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4985
(407) 344-5588
(407) 982-3188
Mailing address
728 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4985
(407) 344-5588
(407) 982-3188
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24126
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH24126
STATE LICENSE
FL
Enumeration date
07/06/2009
Last updated
07/06/2009
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