Nafi M Dewan, PHARMD

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Justin, TX

NPI 1235969643 · NPPES record last updated Aug 2, 2024

Key facts

NPI
1235969643
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
71497 (UT)
Practice address
1221 Western Yarrow Ave
Justin, TX 76247-2199
Phone
(469) 231-8297
NPI assigned
Aug 2, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
71497UTMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 71497 UT Yes

Addresses

Primary practice location

1221 Western Yarrow Ave
Justin, TX 76247-2199

Mailing address

1221 Western Yarrow Ave
Justin, TX 76247-2199
Phone (469) 231-8297

Other providers in Justin, TX

All providers in Justin, TX · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

Sources for this page

Verify at the official NPI Registry.