Organization
KABS OF TAMPA INC
Active
Parent organization
KABS OF TAMPA INC
Other names
KABS PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
KABS OF TAMPA INC
Authorized official
KOLAWOLE ISHOLA (VICE PRESIDENT)
(813) 988-4000
Entity
Organization
Contact information
Practice address
2812 E BEARSS AVE, TAMPA, FL 33613-2653
(813) 843-0224
Mailing address
2812 E BEARSS AVE, TAMPA, FL 33613-2653
(813) 843-0224
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH18088
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025271900
—
FL
Enumeration date
09/01/2017
Last updated
07/21/2022
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