Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Eugene Douglas Provan, RPH

Individual provider Pharmacist · NPI 1194881458

Mr. Eugene Douglas Provan, RPH is a Pharmacist in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

300 W Rosedale St
Fort Worth, TX 76104-4856
Phone: (800) 849-3597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 31493 (TX)

Record details

NPI number1194881458
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedDecember 29, 2006
Last updated in NPPESJuly 8, 2007
Mailing address6808 Brazos Bend Drive, North Richland Hills, TX 76180

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