Simfarose Pharmacy
LBN: Kgj Enterprises
Simfarose Pharmacy is an health care organization with primary practice located at 6338 Lantana Rd Suite 52/53, Lake Worth FL 33467. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kgj Enterprises can be contacted via phone (561) 353-1292, or through Kelly, Nicole via phone (561) 353-1292.
Contact Information
Primary practice address
6338 Lantana Rd Suite 52/53
Lake Worth FL 33467
Phone: (561) 353-1292
Fax: (561) 353-1293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH24364 | Florida |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1477882959 |
|---|---|
| LBN Legal business name | Kgj Enterprises |
| DBA Doing business as | Simfarose Pharmacy |
| Authorized official | Kelly, Nicole |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 14th, 2009 |
| Last updated | Feb 13th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477882959 | NPPES |
| Florida | MEDICAID | 5528075 |
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