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General NPI Number Information
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NPI Number | 1881799716
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Entity Type | Organization
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Legal Business Name | DEVILLERS PHARMACY INC.
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1392 RODMAN ST
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City | FALL RIVER
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State | MA
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Zip | 02721-3845
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Country | US
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Telephone | 508-679-1944
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Fax | 508-679-1946
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Provider Business Mailing Address
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Address Line | 1392 RODMAN ST
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City | FALL RIVER
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State | MA
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Zip | 02721-3845
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Country | US
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Telephone | 508-679-1944
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Fax | 508-679-1946
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANDRE RAYMOND DEVILLERS
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Credential | RPH.
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Telephone | 15086791944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 3398
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License Number State | MA
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