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NPI Code Detail

MEDICARE: DR. BAHMAN A. JAVAN PHARM. D

MEDICARE: DR. BAHMAN A. JAVAN PHARM. D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH018940GA
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPU9172FL
3183500000XPharmacistPS42202FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PU9172OTHERFLCONSULTANT PHARMACIST

General Provider Information

NPI Number : 1265565717
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BAHMAN A. JAVAN PHARM. D
Provider Business Mailing Address
First Line : 1101 OFFICE WOODS DR
Second Line :
City : PENSACOLA
State : FL
Zip : 32504-5937
Country : US
Telephone Number : 850-805-2080
Fax Number :
Provider Business Practice Location Address
First Line : 1101 OFFICE WOODS DR
Second Line :
City : PENSACOLA
State : FL
Zip : 32504-5937
Country : US
Telephone Number : 850-805-2080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 09/18/2022

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