Individual
MUSAB IBN IDRISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21006 CHESLEY CIR, RICHMOND, TX 77406-6457
(346) 770-4341
Mailing address
21006 CHESLEY CIR, RICHMOND, TX 77406-6457
(346) 770-4341
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30306313
TX
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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