Individual
DIVYA M MANAVALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2619 RED BLUFF RD, PASADENA, TX 77506-5270
(713) 475-0939
(713) 477-8514
Mailing address
13503 WILD LILAC CT, PEARLAND, TX 77584-3754
(832) 577-0831
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
55660
TX
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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