Organization
JAY-KISHUN ENTERPRISE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMLESH KURANI (OWNER PHARMACIST)
(817) 237-7877
Entity
Organization
Contact information
Practice address
4504 BOAT CLUB RD, #200, FORT WORTH, TX 76135-7003
(817) 237-7877
Mailing address
4504 BOAT CLUB RD, #200, FORT WORTH, TX 76135-7003
(817) 237-7877
(817) 237-1435
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
23101
TX
333600000X
Pharmacy
23101
TX
3336C0003X
Community/Retail Pharmacy
Primary
23101
TX
Other
Enumeration date
05/03/2006
Last updated
07/16/2014
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