Organization
YVONNE ENTERPRISES
Active
Other names
Kay Pharmacy #003
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN C CONNER (CEO)
(844) 762-3701
Entity
Organization
Contact information
Practice address
637 1ST ST S, WINTER HAVEN, FL 33880-3604
(863) 268-8218
(863) 875-5628
Mailing address
637 1ST ST S, WINTER HAVEN, FL 33880-3604
(863) 268-8218
(863) 875-5628
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008929200
—
FL
01
—
2139801
PK
—
Enumeration date
04/12/2010
Last updated
03/25/2021
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