Provider Demographics
NPI:1609406602
Name:DEVLIN, SHALA (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:SHALA
Middle Name:
Last Name:DEVLIN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 N LAKE FOREST DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7602
Mailing Address - Country:US
Mailing Address - Phone:469-678-3882
Mailing Address - Fax:469-678-3883
Practice Address - Street 1:1801 N LAKE FOREST DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7602
Practice Address - Country:US
Practice Address - Phone:469-678-3882
Practice Address - Fax:469-678-3883
Is Sole Proprietor?:No
Enumeration Date:2020-01-19
Last Update Date:2020-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX449811835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist