Provider Demographics
NPI:1952939928
Name:DUNLOP, DEVEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DEVEN
Middle Name:
Last Name:DUNLOP
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 1:5546 PEACH TREE DR
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95901-8363
Mailing Address - Country:US
Mailing Address - Phone:850-549-6255
Mailing Address - Fax:
Practice Address - Street 1:1000 SUTTER ST STE B
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3505
Practice Address - Country:US
Practice Address - Phone:530-216-4047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82089183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA82089OtherPHARMACIST LICENSE