Individual
MR. KENNETH C BELLOVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
526 E FLYNN LA, PHOENIX, AZ 85012
(602) 234-4836
Mailing address
526 E FLYNN LA, PHOENIX, AZ 85012
(602) 234-4836
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5716
AZ
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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