Organization
KISKEYA INVESTMENT GROUP LLC
Active
Other names
Kiskeya Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRICE JEAN-GILLES (CO-OWNER)
(954) 632-0601
Entity
Organization
Contact information
Practice address
3880 W BROWARD BLVD, SUITE 7, FORT LAUDERDALE, FL 33312-1058
(954) 990-4217
(954) 990-4263
Mailing address
3880 W BROWARD BLVD, SUITE 7, FORT LAUDERDALE, FL 33312-1058
(954) 990-4217
(954) 990-4263
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24086
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045954
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/01/2009
Last updated
06/23/2009
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