Individual
ANDREW ROBERT KREVAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-5220
Mailing address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH237392
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH237392
MA DEPARTMENT OF PUBLIC HEALTH
MA
Enumeration date
08/04/2017
Last updated
10/17/2023
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