SAMUEL LUIS REVERON

NORTH BERGEN, NJ
NPI1699116012
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1835P1200X Pharmacist, Pharmacotherapy
(Licence: NJ  28RI03384200)
Enumeration Date2013-07-14
Last Update Date2013-07-14
Business Address
Dr. SAMUEL LUIS REVERON PharmD
140 78TH ST D5
NORTH BERGEN, NJ 07047-5868
Phone number: 215-840-2592
Mailing Address
Dr. SAMUEL LUIS REVERON PharmD
140 78TH ST D5
NORTH BERGEN, NJ 07047-5868
Phone number: 215-840-2592
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