Organization
KENI PHARMACY INC
Active
Other names
KENI PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
KENIA LLANES (PRESIDENT)
(305) 228-4980
Entity
Organization
Contact information
Practice address
13911 SW 42ND ST, STE 203, MIAMI, FL 33175-6403
(305) 228-4980
Mailing address
13911 SW 42ND ST, STE 203, MIAMI, FL 33175-6403
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23429
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1036107
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/09/2008
Last updated
01/19/2009
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