Reveron, Samuel Luis
Reveron, Samuel Luis is an sole proprietor health care provider with primary practice located at 140 78Th St D5, North Bergen NJ 07047-5868. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Reveron, Samuel Luis can be contacted via phone (215) 840-2592.Contact Information
Primary practice address
140 78Th St D5
North Bergen NJ 07047-5868
Phone: (215) 840-2592
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 28RI03384200 | New Jersey |
Profile Details
| NPI number | 1699116012 |
|---|---|
| LBN Legal business name | Reveron, Samuel Luis |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2013 |
| Last updated | Jul 14th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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