MR. Kevin John Waite JR., PHARMD

NPI #1346609476 in Bohemia, New York

Provider Information

NPI Number
1346609476
Entity Type
Individual
Name
MR. Kevin John Waite JR., PHARMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist - Nutrition Support
Credential
PHARMD
Enumeration Date
Feb 17, 2016
Last Updated
Feb 17, 2016

Practice Location

Address
140 KEYLAND CT UNIT 27
ZIP Code
11716-2655
Phone
(631) 750-9088

Specialties & Taxonomy Codes

Specialty
Pharmacist - Nutrition SupportNutrition Support

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