Organization
TEXAS PROFESSIONAL PHARMACY LLC
Active
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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