Verne Thomas Deville, RPH

Individual provider Active NPI Geriatric Pharmacist · Aurora, IN

NPI 1205925534 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1205925534
Entity type
Individual (NPI type 1)
Primary specialty
Geriatric Pharmacist 1835G0303X
License
26011498A (IN)
Practice address
9105 Holmes Hill Rd
Aurora, IN 47001-9787
Phone
(812) 432-5684
Fax
(812) 432-5954
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
26011498AINMDGeriatric Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 26011498A IN Yes

Addresses

Primary practice location

9105 Holmes Hill Rd
Aurora, IN 47001-9787

Mailing address

9105 Holmes Hill Rd
Aurora, IN 47001-9787
Phone (812) 432-5684

Other providers in Aurora, IN

All providers in Aurora, IN · Geriatric Pharmacist in Indiana

Sources for this page

Verify at the official NPI Registry.