Organization
BANCROFT STREET 2 LLC
Active
Other names
Zikam Pharmacy- Cibolo, Nas Pharmacy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDULHAMID SALEH NASSOR PHARMD (OWNER)
(313) 522-0605
Entity
Organization
Contact information
Practice address
791 FM 1103 STE 121, CIBOLO, TX 78108-3673
(313) 522-0605
(210) 310-3279
Mailing address
791 FM 1103 STE 121, CIBOLO, TX 78108-3673
(210) 236-7700
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
07/22/2021
Last updated
11/14/2024
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