MEDICARE: TAHA PHARMACY

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	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811594823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAHA PHARMACY

Provider Business Mailing Address
First Line	:	1383 BUNKER HILL RD
Second Line	:	101
City	:	HOUSTON
State	:	TX
Zip	:	77055
Country	:	US
Telephone Number	:	832-409-6333
Fax Number	:	832-409-6353

Provider Business Practice Location Address
First Line	:	1383 BUNKER HILL RD
Second Line	:	101
City	:	HOUSTON
State	:	TX
Zip	:	77055
Country	:	US
Telephone Number	:	832-409-6333
Fax Number	:	832-409-6353

Authorized Official
Title or Position	:	OWNER/PIC
Name	:	DR. ALIASGHAR TAFRESHI
Credential	:	RPH
Telephone Number	:	832-409-6333

Provider Enumeration Date	:	10/02/2020
Last Update Date	:	08/02/2021

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Directions to “TAHA PHARMACY ” Practice Location

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