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Contact Information

KAK HEALTHCARE, LLC
485 S ROBB ST.
STE B
TRINITY, TX75862
 Phone: 936-594-3593
 Fax: 936-594-9681
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KAK HEALTHCARE, LLC

NPI # 1497254544
LBN Legal business name KAK HEALTHCARE, LLC
Authorized official KRISTI KUBOSH - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/05/2018
Last updated 09/21/2022 - About 4 years ago
Identifiers
TX License # 31762
TX Medicaid 149789
Other 2175858 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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