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NPI Code Detail

MEDICARE: PALAKRITU ENTERPRISE INC

MEDICARE: PALAKRITU ENTERPRISE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0004XCompounding Pharmacy
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy27719TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12132792OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356618227
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALAKRITU ENTERPRISE INC
Provider Business Mailing Address
First Line : 2480 W ILLINOIS AVE
Second Line :
City : DALLAS
State : TX
Zip : 75233-1106
Country : US
Telephone Number : 214-337-7770
Fax Number : 214-337-7771
Provider Business Practice Location Address
First Line : 2480 W ILLINOIS AVE
Second Line :
City : DALLAS
State : TX
Zip : 75233-1106
Country : US
Telephone Number : 214-337-7770
Fax Number : 214-337-7771
Authorized Official
Title or Position : SECRETARY
Name : KAMLESH KURANI
Credential :
Telephone Number : 817-690-1374
Provider Enumeration Date : 11/21/2011
Last Update Date : 04/29/2016

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Directions to “PALAKRITU ENTERPRISE INC ” Practice Location

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