Organization
KIMA CORPORATION
Active
Other names
DAVIE BOULEVARD DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
JANIUS GOMEZ (STORE MANAGER)
(954) 583-9433
Entity
Organization
Contact information
Practice address
2629 DAVIE BLVD, FORT LAUDERDALE, FL 33312-3029
(954) 583-9433
(954) 587-7863
Mailing address
2629 DAVIE BLVD, FORT LAUDERDALE, FL 33312-3029
(954) 583-9433
(954) 587-7863
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH252
FL
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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