Provan, Eugene Douglas
Provan, Eugene Douglas is an individual health care provider with primary practice located at 300 W Rosedale St , Fort Worth TX 76104-4856. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Provan, Eugene Douglas can be contacted via phone (800) 849-3597.Contact Information
Primary practice address
300 W Rosedale St
Fort Worth TX 76104-4856
Phone: (800) 849-3597
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 31493 | Texas |
Profile Details
| NPI number | 1194881458 |
|---|---|
| LBN Legal business name | Provan, Eugene Douglas |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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