Individual
BEVIS VANTERPOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4839 N BROAD ST, PHILADELPHIA, PA 19141-2107
(215) 324-0800
(215) 324-0801
Mailing address
4839 N BROAD ST, PHILADELPHIA, PA 19141-2107
(215) 324-0800
(215) 324-0801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PP481991
PA
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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