Dewayne Ervin
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas City, TX. Individual provider (NPI-1).
NPI number1164053336
StatusActive
Last updated in NPPESJan 27, 2020
Details
- NPI
- 1164053336
- Entity type
- Individual (NPI-1)
- Name
- Dewayne Ervin
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 27, 2020
- Certification date
- Jan 27, 2020
- Last updated
- Jan 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 19601 | TX | Yes |
Practice location
3541 Palmer HwyTexas City, TX 77590-6513
Phone 409-945-3436 · Fax 409-948-2636
Mailing address
3541 Palmer HwyTexas City, TX 77590-6513
Phone 409-945-3436 · Fax 409-948-2636
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