Individual
MR. GLENN SHEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10 THOREAU DR, FREEHOLD, NJ 07728-4666
(732) 409-1100
Mailing address
10 TERENCE DR, MANALAPAN, NJ 07726-3438
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01591600
NJ
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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