Organization
JUMEIRAH GLOBAL LLC
Active
Other names
JUMEIRAH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CASASNOVAS (MRG)
(786) 715-0098
Entity
Organization
Contact information
Practice address
604 CRYSTAL PL STE 3, LA GRANGE, KY 40031-1297
(786) 715-0098
Mailing address
604 CRYSTAL PL STE 3, LA GRANGE, KY 40031-1297
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P07874
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P07874
BOP
KY
Enumeration date
01/18/2018
Last updated
01/18/2018
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