PICH KTM CORP

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

PICH KTM CORP

11643 BEACH BLVD
UNIT A
JACKSONVILLE, FL 32246

Phone: 904-551-5870
Fax: 904-619-6227
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for PICH KTM CORP

NPI Number 1043626153

LBN Legal business name PICH KTM CORP

Authorized official CHEN OEUR - (PHARMACIST/PHARMACY OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/09/2014

Last updated 05/01/2023 - About 3 years ago

Identifiers

FL	License #	PH28291
FL	Medicaid	013879700
	Other	2147617	PK

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PICH KTM CORP

Contact Information

Specialty

Community/Retail Pharmacy

NPI Profile & details for PICH KTM CORP

Reviews for PICH KTM CORP