Healthcare Provider Details
I. General information
NPI: 1245065226
Provider Name (Legal Business Name): ANDREW NAGY NASHAT SOLIMAN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/07/2024
Last Update Date: 09/07/2024
Certification Date: 09/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1301 PENNSYLVANIA AVE
FORT WORTH TX
76104-2122
US
IV. Provider business mailing address
9320 KENDALL LN
NORTH RICHLAND HILLS TX
76182-3518
US
V. Phone/Fax
- Phone: 817-250-4441
- Fax:
- Phone: 469-335-3686
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1835P1200X |
| Taxonomy | Pharmacotherapy Pharmacist |
| License Number | 3168724 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 68736 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: