# TEXAS PROFESSIONAL PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Texas Professional Pharmacy- Magnolia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588809214
- **Authorized official:** MUSTAFA GULAMHUSEIN PHARM.D (V PRESIDENT, PIC)
- **Authorized official phone:** (281) 356-2216

## Contact information

- **Practice address:** 18602 FM 1488 RD, SUITE 700, MAGNOLIA, TX 77354-8508
- **Practice address phone:** (281) 356-2216
- **Practice address fax:** (281) 356-6440
- **Mailing address:** 18602 FM 1488 RD, SUITE 700, MAGNOLIA, TX 77354-8508
- **Mailing address phone:** (281) 356-2216
- **Mailing address fax:** (281) 356-6440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 26399 | TX | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/09/2008
- **Last updated:** 04/21/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 146008 | — | TX |
| 01 | — | 2118156 | PK | — |