OrganizationKing Pharmacy & Compounding Llc(<Unavail>)PharmacySuppliersPractice Address31201 Us Highway 19 N, Palm Harbor, FL 34684-4422(727) 772-6868PECOS EnrollmentBased on the most recent information from CMS, provider King Pharmacy & Compounding Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1851728703Provider TypeOrganizationFull NameKing Pharmacy & Compounding LlcOther Name<Unavail>SubpartNoEnumeration Date10/8/2013Last Updated7/12/2016Contact InformationPractice LocationPractice Address31201 Us Highway 19 N, Palm Harbor, FL 34684-4422Phone(727) 772-6868Fax(727) 772-6969Mailing LocationMailing Address31201 Us Highway 19 N, Suite 1, Palm Harbor, FL 34684-4422Phone(727) 772-6868Fax(727) 772-6969Authorized OfficialNameAbdelmasih, Shady (Rph Manager)Phone(727) 772-6868Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicensePH28918FloridaCode333600000XDescriptionPharmacySuppliersLicenseUnlisted IssuerCode3336C0004XDescriptionPharmacySuppliersLicenseUnlisted IssuerCode3336L0003XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID2150420DescriptionOtherIssuerPKID014421300DescriptionMedicaidIssuerUnlistedFlorida