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NPI Code Detail

MEDICARE: BUSHRA AFREEN MAMUN

MEDICARE: BUSHRA AFREEN MAMUN
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
1183500000XPharmacist63000TX

General Provider Information

NPI Number : 1306446745
Entity Type Code : Individual
Provider Name (Legal Business Name) : BUSHRA AFREEN MAMUN
Provider Business Mailing Address
First Line : 3506 HIGHWAY 6 S
Second Line :
City : HOUSTON
State : TX
Zip : 77082-4204
Country : US
Telephone Number : 281-561-0846
Fax Number :
Provider Business Practice Location Address
First Line : 3506 HIGHWAY 6 S
Second Line :
City : HOUSTON
State : TX
Zip : 77082-4204
Country : US
Telephone Number : 281-561-0846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2020
Last Update Date : 10/26/2020

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Directions to “ BUSHRA AFREEN MAMUN ” Practice Location

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