Jason Devault
Pharmacist in Lafayette, IN. Individual provider (NPI-1).
NPI number1952906877
StatusActive
Last updated in NPPESApr 19, 2026
Details
- NPI
- 1952906877
- Entity type
- Individual (NPI-1)
- Name
- Jason Devault
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2020
- Certification date
- Apr 19, 2026
- Last updated
- Apr 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 26019562A | IN | Yes |
Practice location
1327 Veterans Memorial Pkwy ELafayette, IN 47905-8917
Phone 765-838-6771
Mailing address
1327 Veterans Memorial Pkwy ELafayette, IN 47905-8917
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