Provider Demographics
NPI:1609821644
Name:VIN KASH INC
Entity Type:Organization
Organization Name:VIN KASH INC
Other - Org Name:ALLIANCE SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VINESH
Authorized Official - Middle Name:
Authorized Official - Last Name:DARJI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:813-740-9563
Mailing Address - Street 1:5474 WILLIAMS RD
Mailing Address - Street 2:STE 16 AND 19
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-9345
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5474 WILLIAMS RD
Practice Address - Street 2:STE 16 AND 19
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-9345
Practice Address - Country:US
Practice Address - Phone:813-740-9563
Practice Address - Fax:813-740-9657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH210173336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1018286OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1018286OtherOTHER ID NUMBER