Organization
KASH N KARRY FOOD STORES INC
Active
Other names
Sweetbay Supermarket Pharmacy #1765
Organization subpart
No
Provider details
NPI number
Authorized official
ELWEN EATON (PHARMACY INSURANCE SPECIALIST)
(207) 885-7454
Entity
Organization
Contact information
Practice address
515 7TH ST W, PALMETTO, FL 34221-4729
(941) 722-8624
(941) 721-7106
Mailing address
PO BOX 1000, MS 3000, PORTLAND, ME 04104-5005
(207) 885-7454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033745
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
104680200
—
FL
Enumeration date
08/27/2006
Last updated
05/14/2014
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