Organization
AMERICAN SPECIALTY PHARMACY INC
Active
Other names
american specialty pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL HAMEED (DIRECTOR)
(734) 218-1641
Entity
Organization
Contact information
Practice address
2709 W 15TH ST STE B, PLANO, TX 75075-7545
(972) 867-4204
Mailing address
2709 W 15TH ST STE B, PLANO, TX 75075-7545
(972) 867-4204
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27477
TX
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5903174
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/20/2011
Last updated
06/15/2012
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