MEDICARE: DR. SHAHANA SULTANA HALEEM 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
1	183500000X	Pharmacist	39749	TX

General Provider Information

NPI Number	:	1205168036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAHANA SULTANA HALEEM PHARM.D.

Provider Business Mailing Address
First Line	:	6107 HIGHWAY 6 N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-1303
Country	:	US
Telephone Number	:	281-856-8293
Fax Number	:

Provider Business Practice Location Address
First Line	:	6107 HIGHWAY 6 N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-1303
Country	:	US
Telephone Number	:	281-856-8293
Fax Number	:	281-856-7235

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2010
Last Update Date	:	02/04/2010

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