Individual
MS. DURGA B DEVINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3060 JUSTIN RD, HIGHLAND VILLAGE, TX 75077-7047
(972) 317-1940
Mailing address
107 BORDEAUX CT, COPPELL, TX 75019-4588
(972) 322-9309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48475
TX
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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