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Organization

JAY-KISHUN ENTERPRISE INC

Active
Other names
RIDGMAR PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
KAMLESHI KURANI (PIC)
(817) 737-7377
Entity
Organization

Contact information

Practice address
2524 MALL CIR, FT WORTH, TX 76116-1545
(817) 737-7377
(817) 737-7388
Mailing address
2524 MALL CIR, FT WORTH, TX 76116-1545
(817) 737-7377
(817) 737-7388

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
22047
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145216
TX
01
2097941
PK
Enumeration date
05/03/2006
Last updated
07/13/2016
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