Healthcare Provider Details

I. General information

NPI: 1750974358
Provider Name (Legal Business Name): TARUJ, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2021
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 E HALLANDALE BEACH BLVD
HALLANDALE BEACH FL
33009-4431
US

IV. Provider business mailing address

1107 E HALLANDALE BEACH BLVD
HALLANDALE BEACH FL
33009-4431
US

V. Phone/Fax

Practice location:
  • Phone: 305-456-9542
  • Fax: 305-456-2467
Mailing address:
  • Phone: 305-456-9542
  • Fax: 305-456-2467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: AMIR KOVAZODA
Title or Position: PRESIDENT
Credential:
Phone: 305-456-9542