# IBN SINA COMMUNITY CLINIC PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225630296
- **Authorized official:** MRS. BADRI TAVASOLIAN PHARMACIST (PHARMACIST)
- **Authorized official phone:** (281) 977-7462

## Contact information

- **Practice address:** 11226 S WILCREST DR, HOUSTON, TX 77099
- **Practice address phone:** (281) 977-7462
- **Practice address fax:** (281) 977-7472
- **Mailing address:** 11226 S WILCREST DR, HOUSTON, TX 77099
- **Mailing address phone:** (281) 977-7462
- **Mailing address fax:** (281) 977-7472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2020
- **Last updated:** 11/13/2020