Organization
TEXAS PROFESSIONAL PHARMACY LLC
Active
Other names
CYPRESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA GULAMHUSEIN (V PRESIDENT, PIC)
(281) 859-1704
Entity
Organization
Contact information
Practice address
17330 SPRING CYPRESS RD, SUITE 160, CYPRESS, TX 77429-4293
(281) 213-3490
(281) 213-3919
Mailing address
17330 SPRING CYPRESS RD, SUITE 160, CYPRESS, TX 77429-4293
(281) 213-3490
(281) 213-3919
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146049
—
TX
01
—
2119761
PK
—
Enumeration date
04/01/2009
Last updated
04/24/2017
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