Organization
NOVA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEVEEN NOFAL REGISTEREDPHARMACIST (PIC)
(865) 765-1771
Entity
Organization
Contact information
Practice address
1408 SUMMIT AVE STE 2, PLANO, TX 75074-8135
(972) 726-9009
(469) 661-3905
Mailing address
1408 SUMMIT AVE STE 2, PLANO, TX 75074-8135
(972) 729-9009
(469) 661-3905
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150194
—
TX
Enumeration date
02/06/2020
Last updated
07/10/2020
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