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MR. SAMUEL DOUGLAS DEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
VA HOSPITAL (119), 3600 30TH ST, DES MOINES, IA 50310
(515) 699-5657
Mailing address
2287 ADAMS ST, CUMMING, IA 50061-5603
(515) 699-5657

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15182
IA

Other

Enumeration date
08/22/2006
Last updated
07/08/2007
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