Individual provider · Type 1 NPI

Ethan Diks

Pharmacist · Manor, TX

NPI number 1790654663 Active

Practice location

18304 Flathead Dr
Manor, TX 78653-4678

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X44101 (TX)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1790654663

Ethan Diks's National Provider Identifier is 1790654663, issued on Oct 30, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Manor, TX. The record was last updated on Oct 30, 2025.