Provider Demographics
NPI:1124846274
Name:DEV PHARMA INC
Entity type:Organization
Organization Name:DEV PHARMA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PIC
Authorized Official - Prefix:
Authorized Official - First Name:GOPAL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SOJITRA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:909-764-3060
Mailing Address - Street 1:731 INDIAN HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-5305
Mailing Address - Country:US
Mailing Address - Phone:909-764-3060
Mailing Address - Fax:909-764-3061
Practice Address - Street 1:731 INDIAN HILL BLVD
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-5305
Practice Address - Country:US
Practice Address - Phone:909-764-3060
Practice Address - Fax:909-764-3061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY53330OtherPHARMACY PERMIT