MEDICARE: DR. MILLIE PARIKH 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	52122	TX

General Provider Information

NPI Number	:	1063761997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MILLIE PARIKH PHARMD

Provider Business Mailing Address
First Line	:	6415 DELLFERN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035
Country	:	US
Telephone Number	:	832-971-0194
Fax Number	:

Provider Business Practice Location Address
First Line	:	6415 DELLFERN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035
Country	:	US
Telephone Number	:	832-971-0194
Fax Number	:

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

Provider Enumeration Date	:	09/06/2012
Last Update Date	:	09/06/2012

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