Individual
BOTROS HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1732 PRECINCT LINE RD, HURST, TX 76054-3165
(817) 503-7731
Mailing address
1624 BIRCH GROVE TRL, KELLER, TX 76248-9732
(817) 715-3154
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61309
TX
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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