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Shady Amralla

Pharmacist in Windcrest, TX. Individual provider (NPI-1).

NPI number1780288902
StatusActive
Last updated in NPPESNov 29, 2020

Details

NPI
1780288902
Entity type
Individual (NPI-1)
Name
Shady Amralla
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 29, 2020
Certification date
Nov 29, 2020
Last updated
Nov 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist67125TXYes

Practice location

5506 Walzem Rd
Windcrest, TX 78218-2103

Phone 210-653-3140

Mailing address

5506 Walzem Rd
Windcrest, TX 78218-2103

Phone 210-653-3140

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