Provider Demographics
NPI:1487994729
Name:DEVIN, STEVE
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:DEVIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 ROTH ST
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-9442
Mailing Address - Country:US
Mailing Address - Phone:530-592-3959
Mailing Address - Fax:
Practice Address - Street 1:6020 CLARK RD
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969-4152
Practice Address - Country:US
Practice Address - Phone:530-877-7001
Practice Address - Fax:530-877-2740
Is Sole Proprietor?:No
Enumeration Date:2013-02-24
Last Update Date:2013-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37196183500000X
NV13260183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist