DR. Shane Malekouti

NPI #1295339505 in Red Oak, Texas

Provider Information

NPI Number: 1295339505
Entity Type: Individual
Name: DR. Shane Malekouti
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 27, 2020
Last Updated: Nov 27, 2020

Practice Location

Address: 107 E OVILLA RD
City: Red Oak
State: Texas
ZIP Code: 75154-2445
Phone: (972) 576-3301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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