Individual
BEVEN WAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12704 GUY R BREWER BLVD, JAMAICA, NY 11434-2955
(718) 978-4458
Mailing address
12704 GUY R BREWER BLVD, JAMAICA, NY 11434-2955
(718) 978-4458
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I0605351
NY
Other
Enumeration date
09/01/2015
Last updated
06/29/2024
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