Healthcare Provider Details

I. General information

NPI: 1881561116
Provider Name (Legal Business Name): AMIHY TAVOR PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35-12411 TRITES ROAD
RICHMOND BC
V7E 6J7
CA

IV. Provider business mailing address

35-12411 TRITES ROAD
RICHMOND BC
V7E 6J7
CA

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60916061
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: