Individual
BUROOJ MUSHTAQ ILYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9390 FOREST LN, DALLAS, TX 75243-4214
(214) 341-3600
Mailing address
6500 EXCELLENCE WAY APT 4072, PLANO, TX 75023-1273
(508) 558-8507
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69559
TX
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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