Provider Demographics
NPI:1043531098
Name:KANIARU, JOSEPH KAHURA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:KAHURA
Last Name:KANIARU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 RUBEN TORRES BLVD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-7426
Mailing Address - Country:US
Mailing Address - Phone:956-504-3142
Mailing Address - Fax:956-504-3468
Practice Address - Street 1:2105 RUBEN TORRES BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-7426
Practice Address - Country:US
Practice Address - Phone:956-504-3142
Practice Address - Fax:956-504-3468
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-14
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42705183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist