Detty Pallikkuneal John

Pharmacist · Lewisville, TX

Individual Active NPI

NPI number 1629401542

Practice location

4760 State Highway 121
Lewisville, TX 75056-2913
Phone
(469) 287-0346

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NPI record

NPI
1629401542
Entity type
Individual (Type 1)
Enumeration date
August 14, 2013
Last updated
August 14, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 53673 TX

About Detty John

Detty Pallikkuneal John is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 4760 State Highway 121, Lewisville, TX 75056-2913. The NPI number 1629401542 was assigned on August 14, 2013 and the record was last updated on August 14, 2013.

Detty John lists a license in the registry: #53673 (TX) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Detty Pallikkuneal John?

The NPI number is 1629401542.

What is the phone number of Detty John?

The phone number listed for the practice location is (469) 287-0346.

Where is Detty John located?

4760 State Highway 121, Lewisville, TX 75056-2913.

What is the taxonomy code for Detty John?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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