Provider Demographics
NPI:1437624699
Name:DEVINS, JOSEPH R (RPH)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:R
Last Name:DEVINS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 THUNDER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-6051
Mailing Address - Country:US
Mailing Address - Phone:760-758-7650
Mailing Address - Fax:760-758-8228
Practice Address - Street 1:161 THUNDER DR STE 100
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-6051
Practice Address - Country:US
Practice Address - Phone:760-758-7650
Practice Address - Fax:760-758-8228
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38815183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist