Scott Bevans

NPI #1003417809 in Lockport, Illinois

Provider Information

NPI Number: 1003417809
Entity Type: Individual
Name: Scott Bevans
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 6, 2020
Last Updated: Nov 6, 2020

Practice Location

Address: 16241 S FARRELL RD
City: Lockport
State: Illinois
ZIP Code: 60441-8101
Phone: (815) 836-3422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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