Marilyn Devere
Organization Active NPI Community/Retail Pharmacy · Luling, TX
NPI 1942652979 · NPPES record last updated Jul 1, 2016
Key facts
- NPI
- 1942652979
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 30810 (TX)
- Legal business name
- MARILYN DEVERE
- Practice address
- 511 E Davis St
Luling, TX 78648-2317 - Phone
- (830) 875-2811
- Fax
- (830) 875-2283
- NPI assigned
- Jul 1, 2016
- Organization subpart
- No
Authorized official
- Name
- Marilyn Devere
- Title
- Owner
- Phone
- (830) 875-2811
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Dismukes Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 30810 | TX | Yes |
Addresses
Primary practice location
511 E Davis St
Luling, TX 78648-2317
Mailing address
511 E Davis St
Luling, TX 78648-2317
Phone (830) 875-2811
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145690 | Medicaid | TX |
Other names
- Dismukes Pharmacy
Other providers in Luling, TX
- Luling Discount Pharmacy Inc
- Luling Emergency Physicians PA
- Luling Isd
- Sofia Malik
- Marilyn Devere
- Martin E Weiner, M.D. P.a.
- Kathleen J McGinnis
- Beth Marie Mitts
- Katrina A Navarro
- Ivan Robert Nepustil
All providers in Luling, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.