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NPI Code Detail

MEDICARE: DR. TALAT MAHMOOD PHARM. D

MEDICARE: DR. TALAT MAHMOOD PHARM. D
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
1183500000XPharmacist41680TX

General Provider Information

NPI Number : 1518563303
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TALAT MAHMOOD PHARM. D
Provider Business Mailing Address
First Line : 8520 N BEACH ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-4918
Country : US
Telephone Number : 817-514-9524
Fax Number :
Provider Business Practice Location Address
First Line : 8520 N BEACH ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-4918
Country : US
Telephone Number : 817-514-9524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2020
Last Update Date : 12/08/2020

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