Provider Demographics
NPI:1336849082
Name:KASSIM, TOKS TOKUNBO (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:TOKS TOKUNBO
Middle Name:
Last Name:KASSIM
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 452195
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33345-2195
Mailing Address - Country:US
Mailing Address - Phone:954-560-7155
Mailing Address - Fax:
Practice Address - Street 1:11631 KEW GARDENS AVE STE 200
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2762
Practice Address - Country:US
Practice Address - Phone:305-962-6089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0021939183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist