Organization
MOMO GROUP LLC
Active
Organization
MOMO GROUP LLC
Active
Other names
A&M Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD AGHASSIBAKE PHARMD (OFFICER/PIC)
(214) 377-8066
Entity
Organization
Contact information
Practice address
15340 DALLAS PKWY STE 2630, DALLAS, TX 75248-4630
(214) 377-8066
(214) 522-2283
Mailing address
15340 DALLAS PKWY STE 2630, DALLAS, TX 75248-4630
(214) 377-8066
(214) 522-2283
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598402547
—
TX
Enumeration date
05/19/2022
Last updated
06/03/2025
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