Organization
MAKTINA LLC
Active
Other names
st simon pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE KADOUS (OWNER)
(941) 552-6054
Entity
Organization
Contact information
Practice address
4012 SAWYER RD, SUITE# 107, SARASOTA, FL 34233-1231
(941) 552-6054
Mailing address
4012 SAWYER RD, SUITE# 107, SARASOTA, FL 34233-1231
(941) 552-6054
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH29485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013655600
—
FL
Enumeration date
03/11/2015
Last updated
11/05/2015
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