Individual
ANDY ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD,
Contact information
Practice address
1444 5TH AVE STE P1, BAY SHORE, NY 11706-4147
(631) 954-2060
Mailing address
1444 5TH AVE STE P1, BAY SHORE, NY 11706-4147
(631) 816-3098
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
067543
NY
183500000X
Pharmacist
PCT.0014620
CT
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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