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Organization

BALLS REXALL DRUGS INC

Active
Other names
B&W Rexall Drugs
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH L HEIMANN RPH (PRESIDENT/PHARMACIST)
(352) 726-1021
Entity
Organization

Contact information

Practice address
500 S.R. 436, SUITE 2074, CASSELBERRY, FL 32707
(352) 726-1021
(352) 726-4688
Mailing address
500 S.R. 436, SUITE 2074, CASSELBERRY, FL 32707
(352) 726-1021
(352) 726-4688

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
3336C0003X
Community/Retail Pharmacy
PH11930
FL
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103431600
FL
01
2004479
PK
Enumeration date
08/31/2006
Last updated
01/21/2025
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