Provider Demographics
NPI:1285220087
Name:DOOKHAN, DAVIN P (RPH)
Entity Type:Individual
Prefix:
First Name:DAVIN
Middle Name:P
Last Name:DOOKHAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2326 61ST ST
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77551-1407
Mailing Address - Country:US
Mailing Address - Phone:409-740-0276
Mailing Address - Fax:409-741-2588
Practice Address - Street 1:2326 61ST ST
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77551-1407
Practice Address - Country:US
Practice Address - Phone:409-740-0276
Practice Address - Fax:409-741-2588
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32835183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty