MEDICARE: MOHIT KESHUBHAI DHOLARIA PHARMD

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
1	183500000X	Pharmacist	57370	TX

General Provider Information

NPI Number	:	1881299170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHIT KESHUBHAI DHOLARIA PHARMD

Provider Business Mailing Address
First Line	:	2532 OAKLAND BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76103-3235
Country	:	US
Telephone Number	:	817-945-5405
Fax Number	:	817-945-5554

Provider Business Practice Location Address
First Line	:	2532 OAKLAND BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76103-3235
Country	:	US
Telephone Number	:	817-945-5405
Fax Number	:	817-945-5554

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2020
Last Update Date	:	09/05/2023

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Directions to “ MOHIT KESHUBHAI DHOLARIA PHARMD” Practice Location

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