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NPI Code Detail

MEDICARE: JEFFERY BOVIAN PHARMD

MEDICARE:   JEFFERY  BOVIAN  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
1183500000XPharmacist48218TX

General Provider Information

NPI Number : 1225633431
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFERY BOVIAN PHARMD
Provider Business Mailing Address
First Line : 3350 FOREST HILL CIR
Second Line :
City : FOREST HILL
State : TX
Zip : 76140-1105
Country : US
Telephone Number : 817-568-9566
Fax Number : 817-293-6510
Provider Business Practice Location Address
First Line : 3350 FOREST HILL CIR
Second Line :
City : FOREST HILL
State : TX
Zip : 76140-1105
Country : US
Telephone Number : 817-568-9566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2020
Last Update Date : 12/03/2020

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Directions to “ JEFFERY BOVIAN PHARMD” Practice Location

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