Van Dev Enterprises INC
NPI #1932204880 in Port Gibson, Mississippi
Provider Information
- NPI Number
- 1932204880
- Entity Type
- Organization
- Organization Name
- Van Dev Enterprises INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 14, 2006
- Last Updated
- Feb 25, 2010
Practice Location
- Address
- 1005 MARKET ST
- City
- Port Gibson
- State
- Mississippi
- ZIP Code
- 39150-2337
- Phone
- (601) 437-5121
Authorized Official
- Name
- DAPHYNE VANDEVENDER, PD
- Title
- OWNER
- Phone
- (601) 437-5121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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