Organization
TRICARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SABRI WILSON SHATBY B.PHARM (OWNER, PIC)
(713) 995-5338
Entity
Organization
Contact information
Practice address
6121 HILLCROFT ST, SUITE J, HOUSTON, TX 77081-1002
(713) 995-5338
(713) 995-5338
Mailing address
6121HILLCROFT, SUITE J, HOUSTON, TX 77081-1002
(713) 995-5338
(713) 995-5338
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
19268
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250458
—
TX
Enumeration date
02/06/2007
Last updated
08/22/2020
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