Organization
KINGS DRUGS INC
Active
Other names
KING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ABIOLA FADARE (PHARMACY MANAGER AND PRESIDENT)
(813) 874-5464
Entity
Organization
Contact information
Practice address
2812 W MARTIN LUTHER KING BLVD, TAMPA, FL 33607
(813) 874-5464
(813) 876-8969
Mailing address
2812 W MARTIN LUTHER KING BLVD, TAMPA, FL 33607
(813) 874-5464
(813) 876-8969
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH21220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011701
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/13/2006
Last updated
09/21/2009
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