Organization
SHEHZADI NAGRA MD PLLC
Active
Parent organization
SHEHZADI NAGRA MD PLLC
Other names
FALLS MEDICAL PHARMACY, Shehzadi Nagra MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHEHZADI NAGRA MD PLLC
Authorized official
MARY BROOKING (ADMINISTRATOR)
(940) 723-9226
Entity
Organization
Contact information
Practice address
1601 BROOK AVE, WICHITA FALLS, TX 76301-5619
(940) 723-9226
(940) 723-9217
Mailing address
1601 BROOK AVE, WICHITA FALLS, TX 76301-5619
(940) 723-9226
(940) 723-9217
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33625
PHARMACY LIC
TX
Enumeration date
01/27/2021
Last updated
11/14/2022
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