Mr. Eugene Douglas Provan
Pharmacist
300 W Rosedale St, Fort Worth
Texas, 76104-4856
800-849-3597
Mr. Eugene Douglas Provan is a pharmacist in Fort Worth, Texas. Patients can reach him at 300 W Rosedale St, Fort Worth or contact him on 800-849-3597. Active license number of Mr. Eugene Douglas Provan is 31493 for Pharmacist in Texas.
Mr. Eugene Douglas Provan is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Mr. Eugene Douglas Provan speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Mr. Eugene Douglas Provan |
| Specialization: | Pharmacist |
| Credentials: | RPH |
| Gender: | Male |
| Location: | 300 W Rosedale St, Fort Worth, Texas, 76104-4856 |
| Phone: | 800-849-3597 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Mr. Eugene Douglas Provan are as mentioned below.
| NPI Number: | 1194881458 |
| NPI Enumeration Date: | 29 Dec, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Eugene Douglas Provan are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 31493 | Texas | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6808 Brazos Bend Drive, North Richland Hills, Texas |
| Zip: | 76180 |
| Phone Number: | 817-253-1921 |
Patients can reach Mr. Eugene Douglas Provan at
300 W Rosedale St, Fort Worth, Texas or can
call on phone at 800-849-3597.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.