MEDICARE: MINA MEHVAR PHARM.D.

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	48701	TX

General Provider Information

NPI Number	:	1932412210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINA MEHVAR PHARM.D.

Provider Business Mailing Address
First Line	:	1900 VETERANS MEMORIAL DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76504-7449
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 VETERANS MEMORIAL DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76504-7449
Country	:	US
Telephone Number	:	254-743-2777
Fax Number	:

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

Provider Enumeration Date	:	07/15/2010
Last Update Date	:	07/15/2010

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Directions to “ MINA MEHVAR PHARM.D.” Practice Location

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