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NPI Code Detail

MEDICARE: SHOLEH SAMAVATI PHARM. D.

MEDICARE:   SHOLEH  SAMAVATI  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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist44713TX

General Provider Information

NPI Number : 1417552639
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHOLEH SAMAVATI PHARM. D.
Provider Business Mailing Address
First Line : 7950 S GESSNER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77036-6802
Country : US
Telephone Number : 713-484-6017
Fax Number : 713-484-6017
Provider Business Practice Location Address
First Line : 7950 S GESSNER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77036-6802
Country : US
Telephone Number : 713-484-6017
Fax Number : 713-484-6017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2020
Last Update Date : 12/04/2020

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Directions to “ SHOLEH SAMAVATI PHARM. D.” Practice Location

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