Organization
JAY - KISHUN ENTERPRISE INC
Active
Other names
GREEN CROSS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAMLESH KURANI (PRESIDENT)
(817) 690-1374
Entity
Organization
Contact information
Practice address
1305 AIRPORT FWY STE 110, BEDFORD, TX 76021-6603
(817) 354-7771
(817) 354-8771
Mailing address
1305 AIRPORT FWY STE 110, BEDFORD, TX 76021-6603
(817) 354-7771
(817) 354-8771
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27034
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148721
—
TX
01
—
2126284
PK
—
Enumeration date
08/17/2010
Last updated
09/19/2025
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