OrganizationKing Pharmacy & Compounding LlcPharmacySuppliersPractice 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 today at 10:04 AM.Profile DetailsProvider ID1851728703Provider TypeOrganizationFull NameKing Pharmacy & Compounding LlcSubpartNoEnumeration 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