Individual
ISSIFU TENII
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11203 LAKE JUNE RD STE 206, BALCH SPRINGS, TX 75180-1219
(214) 391-7441
(214) 391-7443
Mailing address
11203 LAKE JUNE RD STE 206, BALCH SPRINGS, TX 75180-1219
(214) 391-7441
(214) 391-7443
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
TX
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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