Individual
MRS. CARMEN DEVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 EAST US 231, CROWN POINT, IN 46307
(219) 662-8854
Mailing address
100 EAST US 231, CROWN POINT, IN 46307
(219) 662-8854
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022078A
IN
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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