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General NPI Number Information
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NPI Number | 1174323141
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Entity Type | Individual
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Provider Name | SHIFATUL ISLAM PHARM D.
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Gender | Male
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 1201 CREEK WAY DR STE C
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City | SUGAR LAND
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State | TX
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Zip | 77478-4568
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Country | US
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Telephone | 832-365-3420
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Fax | 855-595-2955
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Provider Business Mailing Address
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Address Line | 2429 BISSONNET ST STE 612
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City | HOUSTON
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State | TX
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Zip | 77005-1451
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Country | US
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Telephone | 832-704-3326
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Fax | 855-595-2955
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 62977
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License Number State | TX
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