Organization
OAKS SPECIALTY PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIZAMUDDIN IDRIS MOHAMMED (OWNER)
(469) 820-9159
Entity
Organization
Contact information
Practice address
205 S MAIN ST STE 1005, RED OAK, TX 75154-6388
(469) 820-9159
Mailing address
205 S MAIN ST STE 1005, RED OAK, TX 75154-6388
(469) 820-9159
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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