De-Vine Pharmacy INC

NPI #1114146420 in El Paso, Texas

Provider Information

NPI Number
1114146420
Entity Type
Organization
Organization Name
De-Vine Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 25, 2007
Last Updated
Jun 30, 2010

Practice Location

Address
840 E REDD RD
State
Texas
ZIP Code
79912-7264
Phone
(915) 845-7600

Authorized Official

Name
IFEYINWA E, RPH
Title
OWNER/PRESIDENT
Phone
(915) 845-7600

Specialties & Taxonomy Codes

Specialty
Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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