Organization
PHARMACY DELIVERY
Active
Organization
PHARMACY DELIVERY
Active
Other names
PHARMACY 1
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOUD ABUAZAB (MANAGER)
(469) 573-6336
Entity
Organization
Contact information
Practice address
333 N SHILOH RD, STE 109, GARLAND, TX 75042-6680
(469) 573-6336
(469) 573-5115
Mailing address
333 N SHILOH RD, STE 109, GARLAND, TX 75042-6680
(469) 573-6336
(469) 573-5115
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31832
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175819
PK
—
Enumeration date
03/22/2018
Last updated
03/22/2018
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