Individual
DAVID NEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2949 STATE ROUTE 370, CATO, NY 13033
(315) 626-3161
(315) 626-9919
Mailing address
2949 STATE ROUTE 370, CATO, NY 13033-9778
(315) 626-3161
(315) 626-9919
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
049221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02550094
—
NY
01
—
049221
NEW YORK STATE PHARMACIST LICENSE
NY
01
—
9107084
BOARD OF PHARMACY SPECIALTIES
—
Enumeration date
08/14/2009
Last updated
06/07/2024
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