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Organization

PRO KIMA, LLC

Active
Other names
VIP Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
PEYMAN KIMASI (OFFICER)
(503) 975-0925
Entity
Organization

Contact information

Practice address
1891 N LEE TREVINO DR STE 200, EL PASO, TX 79936-4132
(915) 629-2020
Mailing address
1891 N LEE TREVINO DR, # 200, EL PASO, TX 79936-4127
(915) 629-2020

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29737
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2149871
PK
Enumeration date
02/03/2015
Last updated
02/03/2015
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