MEDICARE: MICHAEL SULAIMAN RPH

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	21011	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	407378	OTHER	TX	NABP

General Provider Information

NPI Number	:	1700330636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL SULAIMAN RPH

Provider Business Mailing Address
First Line	:	3733 WESTHEIMER RD STE 1
Second Line	:	#892
City	:	HOUSTON
State	:	TX
Zip	:	77027-5226
Country	:	US
Telephone Number	:	713-747-1829
Fax Number	:	713-747-4887

Provider Business Practice Location Address
First Line	:	3733 WESTHEIMER RD STE 1
Second Line	:	#892
City	:	HOUSTON
State	:	TX
Zip	:	77027-5226
Country	:	US
Telephone Number	:	713-747-1829
Fax Number	:	713-747-4887

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

Provider Enumeration Date	:	08/09/2016
Last Update Date	:	08/09/2016

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