Provider Demographics
NPI:1619553732
Name:EDDINGS, DEVIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:
Last Name:EDDINGS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4285 CHANDLER HWY
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75702-7604
Mailing Address - Country:US
Mailing Address - Phone:903-630-9250
Mailing Address - Fax:
Practice Address - Street 1:4285 CHANDLER HWY
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-7604
Practice Address - Country:US
Practice Address - Phone:903-630-9250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60946183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX746612OtherNATIONAL ASSOCIATION OF BOARDS OF PHARMACY
TX60946OtherTEXAS STATE BOARD OF PHARMACY