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NPI Code Detail

MEDICARE: MRS. SHEEDA KHAVARI PHARMD

MEDICARE: MRS. SHEEDA KHAVARI 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
1183500000XPharmacist48214TX

General Provider Information

NPI Number : 1649876194
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHEEDA KHAVARI PHARMD
Provider Business Mailing Address
First Line : 2662 W LUCAS RD
Second Line :
City : LUCAS
State : TX
Zip : 75002-7513
Country : US
Telephone Number : 469-675-8110
Fax Number :
Provider Business Practice Location Address
First Line : 2662 W LUCAS RD
Second Line :
City : LUCAS
State : TX
Zip : 75002-7513
Country : US
Telephone Number : 469-675-8110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2020
Last Update Date : 12/09/2020

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Directions to “ MRS. SHEEDA KHAVARI PHARMD” Practice Location

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