Healthcare Provider Details

I. General information

NPI: 1982918397
Provider Name (Legal Business Name): JARES INVESTMENTSGLOBAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2010
Last Update Date: 05/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9716 N 56TH ST
TEMPLE TERRACE FL
33617-5508
US

IV. Provider business mailing address

1542 LAKEVIEW DR SUITE 1
SEBRING FL
33617-5508
US

V. Phone/Fax

Practice location:
  • Phone: 813-899-1313
  • Fax: 813-899-1515
Mailing address:
  • Phone: 863-304-8792
  • Fax: 863-304-8846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH24709
License Number StateFL

VIII. Authorized Official

Name: JOSEPH OWUSU
Title or Position: PHARMACIST
Credential:
Phone: 813-899-1313