Organization
KEN DRUGS INC
Active
Organization
KEN DRUGS INC
Active
Other names
Pine Hills Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH O SHOBOLA (CEO)
(813) 426-5419
Entity
Organization
Contact information
Practice address
4730 N HABANA AVE, SUITE 101, TAMPA, FL 33614-7163
(813) 348-0095
(813) 872-6591
Mailing address
PO BOX 15779, TAMPA, FL 33684-5779
(813) 348-0095
(813) 872-6591
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
BK8211877
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1098361
NCPDP
—
Enumeration date
08/02/2006
Last updated
08/22/2020
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