Manda Moore Deville, PHARM.D. R.PH

Pharmacist · Cartersville, GA

Individual Active NPI

NPI number 1619394590

Practice location

101 Market Place Blvd
Cartersville, GA 30121-2236
Phone
(770) 386-4571

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NPI record

NPI
1619394590
Entity type
Individual (Type 1)
Enumeration date
March 28, 2014
Last updated
March 28, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 23687 GA
Pharmacist 183500000X 5560 MT
Pharmacist 183500000X 3034 WY
Pharmacist 183500000X 38734 FL

About Manda Deville

Manda Moore Deville, PHARM.D. R.PH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 101 Market Place Blvd, Cartersville, GA 30121-2236. The NPI number 1619394590 was assigned on March 28, 2014 and the record was last updated on March 28, 2014.

Manda Deville lists 4 licenses in the registry: #23687 (GA) for Pharmacist; #5560 (MT) for Pharmacist; #3034 (WY) for Pharmacist; #38734 (FL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Manda Moore Deville, PHARM.D. R.PH?

The NPI number is 1619394590.

What is the phone number of Manda Deville?

The phone number listed for the practice location is (770) 386-4571.

Where is Manda Deville located?

101 Market Place Blvd, Cartersville, GA 30121-2236.

What is the taxonomy code for Manda Deville?

The primary taxonomy code is 183500000X – Pharmacist; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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