Provider Demographics
NPI:1619570389
Name:GHORI, MASOOMA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MASOOMA
Middle Name:
Last Name:GHORI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9023 LILAC SPGS
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2885
Mailing Address - Country:US
Mailing Address - Phone:328-587-7318
Mailing Address - Fax:
Practice Address - Street 1:22125 CUMBERLAND RIDGE DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6494
Practice Address - Country:US
Practice Address - Phone:281-758-1031
Practice Address - Fax:281-547-7314
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63441183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist