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NPI Code Detail

MEDICARE: MIRA SHAABI R.PH

MEDICARE:   MIRA  SHAABI  R.PH
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
1183500000XPharmacist32157TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
132157OTHERTXTEXAS REGISTERD PHARMACIST LICENSE NUMBER

General Provider Information

NPI Number : 1821677832
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRA SHAABI R.PH
Provider Business Mailing Address
First Line : 4107 BELMONT SHORE LN
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-5009
Country : US
Telephone Number : 832-638-8360
Fax Number :
Provider Business Practice Location Address
First Line : 3640 GLENN LAKES LN
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-4064
Country : US
Telephone Number : 281-261-8278
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2021
Last Update Date : 04/06/2021

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Directions to “ MIRA SHAABI R.PH” Practice Location

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