Individual
DR. LEVIA N EVERSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 HAMILTON AVE, TRENTON, NJ 08629-1915
(609) 599-5000
Mailing address
PO BOX 191, EAST ORANGE, NJ 07019-0191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03930000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI03930000
REGISTERED PHARMACIST
NJ
01
—
28RJ07665
REGISTERED IMMUNIZER
NJ
Enumeration date
06/25/2018
Last updated
04/01/2019
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