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NPI Code Detail

MEDICARE: KENDALL RX INC

MEDICARE: KENDALL RX 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
13336C0003XCommunity/Retail PharmacyPH23046FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PH23046OTHERFLPHARMACY LICENSE

General Provider Information

NPI Number : 1306027560
Entity Type Code : Organization
Provider Name (Legal Business Name) : KENDALL RX INC
Provider Business Mailing Address
First Line : 9783 SW 72ND ST
Second Line :
City : MIAMI
State : FL
Zip : 33173-4615
Country : US
Telephone Number : 305-275-9149
Fax Number : 305-275-9148
Provider Business Practice Location Address
First Line : 9783 SW 72ND ST
Second Line :
City : MIAMI
State : FL
Zip : 33173-4615
Country : US
Telephone Number : 305-275-9149
Fax Number : 305-275-9148
Authorized Official
Title or Position : PRESIDENT
Name : JORGE A SUZARTE
Credential :
Telephone Number : 305-275-9149
Provider Enumeration Date : 11/16/2007
Last Update Date : 03/24/2008

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Directions to “KENDALL RX INC ” Practice Location

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