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Organization

K & M LAKE PLACID INC

Active
Other names
K & M Drugs
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN KARMEN MUNSON PHARMACIST (DIRECTOR)
(863) 517-1142
Entity
Organization

Contact information

Practice address
133 TOWER ST, LAKE PLACID, FL 33852-6836
(863) 260-0100
(863) 260-0164
Mailing address
133 TOWER ST, LAKE PLACID, FL 33852-6836
(863) 260-0100
(863) 260-0164

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
PH23817
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000688300
FL
05
000688301
FL
Enumeration date
01/07/2009
Last updated
01/10/2014
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