Organization
KIARA DISCOUNT PHARMACY COR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESUS FUNDORA (PRESIDENT)
(786) 201-4666
Entity
Organization
Contact information
Practice address
9620 SW 72ND ST, MIAMI, FL 33173-3250
(786) 201-4666
(305) 477-6518
Mailing address
9620 SW 72ND ST, MIAMI, FL 33173-3250
(786) 201-4666
(305) 477-6518
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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