Provider Demographics
NPI:1295063204
Name:BHAKTA, PRAGNA R (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PRAGNA
Middle Name:R
Last Name:BHAKTA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6280 BARKER CYPRESS RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-1628
Mailing Address - Country:US
Mailing Address - Phone:281-859-4898
Mailing Address - Fax:281-859-7360
Practice Address - Street 1:6280 BARKER CYPRESS RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-1628
Practice Address - Country:US
Practice Address - Phone:281-859-4898
Practice Address - Fax:281-859-7360
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41831183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist