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1609541747
MICHAEL ISHAK
FORT WORTH, TX
NPI
1609541747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 67282)
Enumeration Date
2021-08-11
Last Update Date
2021-08-11
Business Address
MICHAEL ISHAK
4400 BASSWOOD BLVD
FORT WORTH, TX 76137-1501
Phone number: 817-605-1218
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Mailing Address
MICHAEL ISHAK
4324 ROSEBRIAR WAY
FORT WORTH, TX 76244-8597
Phone number: 347-484-3494
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