Individual
BAKHTAVER JAVED SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
1325 W WHITE ST, ANNA, TX 75409-5007
(972) 924-4220
Mailing address
813 EDMONTON DR, PLANO, TX 75075-2580
(972) 832-3966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67098
TX
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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