Individual
BETH KOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10 GARET PL, COMMACK, NY 11725-5421
(630) 462-5098
Mailing address
10 GARET PL, COMMACK, NY 11725-5421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041157
NY
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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