MEDICARE: SEDRA AL NOAIMY

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	54662	TX

General Provider Information

NPI Number	:	1720823354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEDRA AL NOAIMY

Provider Business Mailing Address
First Line	:	9031 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-3603
Country	:	US
Telephone Number	:	346-320-4997
Fax Number	:	346-320-4961

Provider Business Practice Location Address
First Line	:	9031 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-3603
Country	:	US
Telephone Number	:	346-320-4997
Fax Number	:	346-320-4961

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

Provider Enumeration Date	:	06/26/2024
Last Update Date	:	06/26/2024

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