Provider Demographics
NPI:1962003491
Name:INBODY, DEVIN ASHLEY (RPH)
Entity type:Individual
Prefix:MRS
First Name:DEVIN
Middle Name:ASHLEY
Last Name:INBODY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 W GYPSY LANE RD
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-4503
Mailing Address - Country:US
Mailing Address - Phone:419-352-3396
Mailing Address - Fax:419-354-2606
Practice Address - Street 1:131 W GYPSY LANE RD
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-4503
Practice Address - Country:US
Practice Address - Phone:419-352-3396
Practice Address - Fax:419-354-2606
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03230230183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist