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

Detty Pallikkuneal John

Individual provider Pharmacist · NPI 1629401542

Detty Pallikkuneal John is a Pharmacist in Lewisville, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2013
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Practice location Address checks out

4760 State Highway 121
Lewisville, TX 75056-2913 Not confirmed with CMS for 13 years — call before visiting
Phone: (469) 287-0346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 53673 (TX)

Record details

NPI number1629401542
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 14, 2013
Last updated in NPPESAugust 14, 2013

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