Organization
KOLLAM INC
Active
Other names
Safe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD KHAN (OWNER)
(855) 226-6567
Entity
Organization
Contact information
Practice address
2920 MOTLEY DR, STE 300, MESQUITE, TX 75150-3471
(855) 226-6567
(855) 226-6587
Mailing address
2920 MOTLEY DR, STE 300, MESQUITE, TX 75150-3471
(855) 226-6567
(855) 226-6587
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28388
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146801
PK
—
Enumeration date
08/25/2010
Last updated
12/07/2015
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