Provider Demographics
NPI:1619206935
Name:GIVEN, DAVE ANDREW (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAVE
Middle Name:ANDREW
Last Name:GIVEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 N BELL BLVD
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2214
Mailing Address - Country:US
Mailing Address - Phone:512-250-0867
Mailing Address - Fax:512-250-5350
Practice Address - Street 1:710 NORTH BELL BOULEVARD
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613
Practice Address - Country:US
Practice Address - Phone:512-250-0867
Practice Address - Fax:512-250-5350
Is Sole Proprietor?:No
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35896183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist