Healthcare Provider Details

I. General information

NPI: 1366690364
Provider Name (Legal Business Name): KRS GLOBAL BIO TECHNOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 02/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

791 PARK OF COMMERCE BLVD STE 600
BOCA RATON FL
33487-3632
US

IV. Provider business mailing address

791 PARK OF COMMERCE BLVD STE 600
BOCA RATON FL
33487-3632
US

V. Phone/Fax

Practice location:
  • Phone: 888-242-7996
  • Fax: 866-480-3322
Mailing address:
  • Phone: 888-242-7996
  • Fax: 866-480-3322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberPH23506
License Number StateFL

VIII. Authorized Official

Name: RICCARDO ROSCETTI
Title or Position: PRESIDENT/CEO
Credential: DOCTORATE
Phone: 888-242-7996