Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEVON RUDOLPH
Active Sole ProprietorDEVON RUDOLPH is a Pharmacist healthcare provider located in GRAND RAPIDS, Minnesota. NPI 1669856852 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · GRAND RAPIDS, MN
Registration Details
- NPI Number
- 1669856852
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2015 (11.066156659046 yrs)
- Last Updated
- Jul 17, 2015
- License
-
122337 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2026 S POKEGAMA AVEGRAND RAPIDS, MN, 557444288Browse MN providers · Browse ZIP 55744
- Phone
- 2183269431
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in GRAND RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. LISA ANN BRANDT | RPH | 1811007008 |
| MR. MICHAEL ALLEN BRANDT | RPH | 1093827990 |
| VALERIE HALVERSON | R.PH. | 1174740849 |
| DANIELLE BEAUDETTE SERGOT | PHARM.D | 1750535290 |
| MELISSA NICOLE WALTERS | PHARM.DL | 1093048407 |
| THERESA M FOX | PHARMD | 1538493895 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.