Organization
KISKEYA INVESTMENT GROUP LLC
Active
Other names
KISKEYA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PRICE JEAN-GILLES (PIC)
(954) 632-0601
Entity
Organization
Contact information
Practice address
1203 E SUNRISE BLVD, FORT LAUDERDALE, FL 33304-2810
(954) 766-6007
(954) 766-6037
Mailing address
3880 W BROWARD BLVD, STE 7, FORT LAUDERDALE, FL 33312-1058
(954) 990-4217
(954) 990-4263
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25475
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5705946
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/20/2011
Last updated
05/25/2011
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