Provider Demographics
NPI:1427208065
Name:DEBYSINGH, DAVID A (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:DEBYSINGH
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 1:33570 CEDAR PARK PL
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97424-8594
Mailing Address - Country:US
Mailing Address - Phone:541-767-2766
Mailing Address - Fax:541-767-2766
Practice Address - Street 1:33570 CEDAR PARK PL
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:OR
Practice Address - Zip Code:97424-8594
Practice Address - Country:US
Practice Address - Phone:541-767-2766
Practice Address - Fax:541-767-2766
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR000084541835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist