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1629369053
JAMES W BEVILACQUA
SARANAC LAKE, NY
NPI
1629369053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 32357)
Enumeration Date
2011-04-19
Last Update Date
2011-04-19
Business Address
Mr. JAMES W BEVILACQUA RPH
61 MAIN ST
SARANAC LAKE, NY 12983-1710
Phone number: 518-891-2233
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Mailing Address
Mr. JAMES W BEVILACQUA RPH
PO BOX 587
SARANAC LAKE, NY 12983-0587
Phone number: 518-891-2233
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