Provider Demographics
NPI:1669289161
Name:AL-NUAIMI, MAYSS MUDHER (RPH)
Entity type:Individual
Prefix:
First Name:MAYSS
Middle Name:MUDHER
Last Name:AL-NUAIMI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 HWY 287 N
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063
Mailing Address - Country:US
Mailing Address - Phone:817-453-0838
Mailing Address - Fax:817-453-6779
Practice Address - Street 1:980 HWY 287 N
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063
Practice Address - Country:US
Practice Address - Phone:817-453-0838
Practice Address - Fax:817-453-6779
Is Sole Proprietor?:No
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73575183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist