Provider Demographics
NPI:1942849724
Name:KABS OF FLORIDA
Entity Type:Organization
Organization Name:KABS OF FLORIDA
Other - Org Name:K & B PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KOLAWOLE
Authorized Official - Middle Name:I
Authorized Official - Last Name:ISHOLA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:813-988-4000
Mailing Address - Street 1:2812 E BEARSS AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-2653
Mailing Address - Country:US
Mailing Address - Phone:813-988-4000
Mailing Address - Fax:813-849-1138
Practice Address - Street 1:2812 E BEARSS AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-2653
Practice Address - Country:US
Practice Address - Phone:813-988-4000
Practice Address - Fax:813-849-1138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-27
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy