Individual
TREVIARE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, STE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
1810 PLYMOUTH ST, PHILADELPHIA, PA 19126-1531
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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