Provider Demographics
NPI:1811581937
Name:PESEK, DEVIN JAMES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:JAMES
Last Name:PESEK
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 1:800 WOLF RANCH PKWY APT 1201
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-2232
Mailing Address - Country:US
Mailing Address - Phone:361-293-0277
Mailing Address - Fax:
Practice Address - Street 1:800 WOLF RANCH PKWY APT 1201
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-2232
Practice Address - Country:US
Practice Address - Phone:361-293-0277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX652191835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy