Individual
DR. KEVIN T BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1601 CHERRY ST, SUITE 1700, PHILADELPHIA, PA 19102-1321
(215) 282-1738
Mailing address
471 WEST AVENUE, DELANCO, NJ 08075-5027
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
RP045171L
PA
1835P1200X
Pharmacotherapy Pharmacist
RP045171L
PA
Other
Enumeration date
12/02/2006
Last updated
10/29/2007
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