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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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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