Organization
MIDCITIES PHARMACY INC
Active
Other names
MidCities Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AEMAD ASLAM RPH, MBA (PRESIDENT)
(469) 235-4515
Entity
Organization
Contact information
Practice address
2000 PRECINCT LINE RD STE 102, HURST, TX 76054-3185
(817) 605-3500
(817) 605-3501
Mailing address
PO BOX 54011, HURST, TX 76054-4011
(817) 605-3500
(817) 605-3501
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28614
TX
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146826
—
TX
05
—
149438
—
TX
01
—
2141141
PK
—
Enumeration date
07/09/2013
Last updated
01/17/2021
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