Individual
DR. ANISA RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
2201 SE LOOP 820, RM 1S-430, FORT WORTH, TX 76119-5863
(817) 730-0143
Mailing address
2201 SE LOOP 820, RM 1S-430, FORT WORTH, TX 76119-5863
(817) 730-0143
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208034
VA
Other
Enumeration date
09/24/2007
Last updated
01/11/2012
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