MEDICARE: KASHMA ENTERPRISES 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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	26813	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2124058	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386967107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KASHMA ENTERPRISES INC

Provider Business Mailing Address
First Line	:	6050 LAKE WORTH BLVD
Second Line	:
City	:	LAKE WORTH
State	:	TX
Zip	:	76135-3706
Country	:	US
Telephone Number	:	817-238-7773
Fax Number	:	817-238-7791

Provider Business Practice Location Address
First Line	:	6050 LAKE WORTH BLVD
Second Line	:
City	:	LAKE WORTH
State	:	TX
Zip	:	76135-3706
Country	:	US
Telephone Number	:	817-238-7773
Fax Number	:	817-238-7791

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KAMLESH KURANI
Credential	:
Telephone Number	:	817-690-1374

Provider Enumeration Date	:	03/08/2010
Last Update Date	:	11/09/2015

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Directions to “KASHMA ENTERPRISES INC ” Practice Location

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