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NPI Code Detail

MEDICARE: PHARMED LP

MEDICARE: PHARMED LP
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
13336C0003XCommunity/Retail Pharmacy22345TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24525854OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1396750931
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHARMED LP
Provider Business Mailing Address
First Line : PO BOX 260329
Second Line :
City : PLANO
State : TX
Zip : 75026-0329
Country : US
Telephone Number : 817-507-0162
Fax Number : 972-248-3234
Provider Business Practice Location Address
First Line : 1200 WOODHAVEN BLVD
Second Line :
City : FT WORTH
State : TX
Zip : 76112-2376
Country : US
Telephone Number : 817-507-0162
Fax Number : 817-507-0163
Authorized Official
Title or Position : GENERAL MGR
Name : SAEID DAVANI
Credential :
Telephone Number : 972-596-6690
Provider Enumeration Date : 07/30/2006
Last Update Date : 09/08/2011

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Directions to “PHARMED LP ” Practice Location

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