MEDICARE: MISKRX PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1508794173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MISKRX PHARMACY LLC

Provider Business Mailing Address
First Line	:	2011 W SPRING CREEK PKWY STE 1400
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75023-4273
Country	:	US
Telephone Number	:	945-468-6055
Fax Number	:	945-468-6053

Provider Business Practice Location Address
First Line	:	2011 W SPRING CREEK PKWY STE 1400
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75023-4273
Country	:	US
Telephone Number	:	945-468-6055
Fax Number	:	945-468-6053

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	MR. AL-MUTAZ AL-MUQBEL
Credential	:
Telephone Number	:	945-468-6055

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “MISKRX PHARMACY LLC ” Practice Location

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