Eugene Douglas Provan in North Richland Hills - Pharmacist
Eugene Douglas Provan - NPI 1194881458
Eugene Douglas Provan is a Pharmacist in North Richland Hills, Texas. Eugene Douglas Provan practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Eugene Douglas Provan is 1194881458. The last update date is 2007-07-08.
Eugene Douglas Provan's current location address is 6808 Brazos Bend Drive, North Richland Hills, Texas. You can contact this provider via phone number 8172531921. The mailing address for Eugene Douglas Provan is 6808 Brazos Bend Drive, North Richland Hills, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eugene Douglas Provan |
|---|---|
| Address | 6808 Brazos Bend Drive, North Richland Hills, Texas |
| Phone Number | 8172531921 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1194881458 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6808 Brazos Bend Drive |
|---|---|
| City | North Richland Hills |
| State | Texas (TX) |
| Post Code | 76180 |
| Phone Number | 8172531921 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 31493 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the unique identification code assigned to Eugene Douglas Provan by the Centers for Medicare & Medicaid Services?
The Eugene Douglas Provan has been issued the NPI (National Provider Identifier) 1194881458. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Eugene Douglas Provan?
The Eugene Douglas Provan is situated at 6808 Brazos Bend Drive, in the city of North Richland Hills, state of TX, with the zip code 76180.
What is the Eugene Douglas Provan's area of specialization and corresponding taxonomy classification?
The Eugene Douglas Provan's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
When did Eugene Douglas Provan receive its 1194881458 assignment?
The Eugene Douglas Provan was assigned its 1194881458 on 2006-12-29, which is the date when this unique identifier was issued to the organization.
As of what date were the Eugene Douglas Provan's details last updated?
The information pertaining to the Eugene Douglas Provan, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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