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NPI Code Detail

MEDICARE: JAY-KISHUN ENTERPRISE, INC.

MEDICARE: JAY-KISHUN ENTERPRISE, 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
1332B00000XDurable Medical Equipment & Medical Supplies23101TX
2333600000XPharmacy23101TX
33336C0003XCommunity/Retail Pharmacy23101TX

General Provider Information

NPI Number : 1891753133
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAY-KISHUN ENTERPRISE, INC.
Provider Business Mailing Address
First Line : 4504 BOAT CLUB RD
Second Line : #200
City : FORT WORTH
State : TX
Zip : 76135-7003
Country : US
Telephone Number : 817-237-7877
Fax Number : 817-237-1435
Provider Business Practice Location Address
First Line : 4504 BOAT CLUB RD
Second Line : #200
City : FORT WORTH
State : TX
Zip : 76135-7003
Country : US
Telephone Number : 817-237-7877
Fax Number :
Authorized Official
Title or Position : OWNER PHARMACIST
Name : KAMLESH KURANI
Credential :
Telephone Number : 817-237-7877
Provider Enumeration Date : 05/03/2006
Last Update Date : 07/16/2014

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Directions to “JAY-KISHUN ENTERPRISE, INC. ” Practice Location

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