Individual
BAHMAN DARVISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
502 N VALLEY PKWY STE 1A, LEWISVILLE, TX 75067-3437
(469) 949-1003
Mailing address
502 N VALLEY PKWY STE 1A, LEWISVILLE, TX 75067-3437
(469) 949-1003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
62746
TX
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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