Organization
SHEHALA IT INC
Active
Other names
Benbrook Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED HAQUE (PRESIDENT)
(817) 249-9595
Entity
Organization
Contact information
Practice address
410 MERCEDES ST, BENBROOK, TX 76126-2519
(817) 249-9595
(817) 249-9596
Mailing address
410 MERCEDES ST, BENBROOK, TX 76126-2519
(817) 249-9595
(817) 249-9596
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27215
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146267
—
TX
01
—
2126707
PK
—
Enumeration date
09/13/2010
Last updated
12/13/2016
About Stedi
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