Provider Demographics
NPI:1023407988
Name:STONEBRIAR PHARMACEUTICAL SERVICES
Entity type:Organization
Organization Name:STONEBRIAR PHARMACEUTICAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, AO
Authorized Official - Prefix:
Authorized Official - First Name:AEMAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:ASLAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-605-3500
Mailing Address - Street 1:8018 PRESTON RD STE 502
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0362
Mailing Address - Country:US
Mailing Address - Phone:214-618-2486
Mailing Address - Fax:214-618-2492
Practice Address - Street 1:8018 PRESTON RD STE 502
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-0362
Practice Address - Country:US
Practice Address - Phone:214-618-2486
Practice Address - Fax:214-618-2492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-15
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
TX298733336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2151601OtherPK