Individual
IRVIN TEVLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
5520 DRAKE RD, WEST BLOOMFIELD, MI 48322-1259
(248) 661-0774
(248) 661-6298
Mailing address
5520 DRAKE RD, WEST BLOOMFIELD, MI 48322-1259
(248) 661-0774
(248) 661-6298
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302023149
MI
Other
Enumeration date
05/07/2010
Last updated
05/07/2010
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