Provider Demographics
NPI:1205925534
Name:DEVILLE, VERNE THOMAS (RPH)
Entity type:Individual
Prefix:MR
First Name:VERNE
Middle Name:THOMAS
Last Name:DEVILLE
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 1:9105 HOLMES HILL RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IN
Mailing Address - Zip Code:47001-9787
Mailing Address - Country:US
Mailing Address - Phone:812-432-5684
Mailing Address - Fax:812-432-5954
Practice Address - Street 1:9105 HOLMES HILL RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IN
Practice Address - Zip Code:47001-9787
Practice Address - Country:US
Practice Address - Phone:812-432-5684
Practice Address - Fax:812-432-5954
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26011498A1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric