Provider Demographics
NPI:1073376737
Name:EDUCATION & EMPOWERMENT, INC.
Entity Type:Organization
Organization Name:EDUCATION & EMPOWERMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE BOARD/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERELEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-709-4848
Mailing Address - Street 1:PO BOX 685
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:FL
Mailing Address - Zip Code:33877-0685
Mailing Address - Country:US
Mailing Address - Phone:863-709-4848
Mailing Address - Fax:
Practice Address - Street 1:119 W BAY ST
Practice Address - Street 2:
Practice Address - City:WAUCHULA
Practice Address - State:FL
Practice Address - Zip Code:33873-3135
Practice Address - Country:US
Practice Address - Phone:863-448-4532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH34960OtherPHARMACY