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Organization

TEXAS PROFESSIONAL PHARMACY LLC

Active
Other names
Texas Professional Pharmacy- Magnolia
Organization subpart
No

Provider details

NPI number
Authorized official
MUSTAFA GULAMHUSEIN PHARM.D (V PRESIDENT, PIC)
(281) 356-2216
Entity
Organization

Contact information

Practice address
18602 FM 1488 RD, SUITE 700, MAGNOLIA, TX 77354-8508
(281) 356-2216
(281) 356-6440
Mailing address
18602 FM 1488 RD, SUITE 700, MAGNOLIA, TX 77354-8508
(281) 356-2216
(281) 356-6440

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
26399
TX
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146008
TX
01
2118156
PK
Enumeration date
12/09/2008
Last updated
04/21/2017
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