Individual
DR. CARLEY LYN BEVEVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12 CHERRY LN, TROY, NY 12180-6506
(518) 495-1546
Mailing address
12 CHERRY LN, TROY, NY 12180-6506
(518) 495-1546
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
055715-1
NY
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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