Organization
KIRBY & COMPANY PHARMACY LLC
Active
Other names
KIRBY AND COMPANY PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KIRBY PHARM D (PHARM)
(386) 496-8099
Entity
Organization
Contact information
Practice address
395 W MAIN ST, STE C, LAKE BUTLER, FL 32054-1642
(386) 496-8099
(386) 496-3796
Mailing address
395 W MAIN ST, STE C, LAKE BUTLER, FL 32054-1642
(386) 496-8099
(386) 496-3796
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21506
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031042500
—
FL
01
—
2005182
PK
—
Enumeration date
12/11/2006
Last updated
09/13/2016
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