MEDICARE: SAMREEN JANJUA

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	44485	TX

General Provider Information

NPI Number	:	1740907112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMREEN JANJUA

Provider Business Mailing Address
First Line	:	802 MEYER ST
Second Line	:
City	:	SEALY
State	:	TX
Zip	:	77474-3433
Country	:	US
Telephone Number	:	979-885-3538
Fax Number	:

Provider Business Practice Location Address
First Line	:	802 MEYER ST
Second Line	:
City	:	SEALY
State	:	TX
Zip	:	77474-3433
Country	:	US
Telephone Number	:	979-885-3538
Fax Number	:

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

Provider Enumeration Date	:	10/25/2022
Last Update Date	:	10/25/2022

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Directions to “ SAMREEN JANJUA ” Practice Location

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