person
Mr. Kevin John Waite JR., PHARMD
Nutrition Support Pharmacist in Bohemia, New York
NPI 1346609476

Kevin John Waite JR. is a Nutrition Support Pharmacist based in Bohemia, NY and is specialized in Nutrition Support. Kevin John Waite JR. practices in Bohemia, NY and has the professional credentials of PHARMD. The NPI Number for Kevin John Waite JR. is 1346609476 and holds a License No. 061399 (New York).

The current practice location address for Kevin John Waite JR. is 140 Keyland Ct Unit 27, Bohemia, NY and can be reached out via phone at 631-750-9088.

Location: 140 Keyland Ct Unit 27, Bohemia, NY, 11716-2655
person
Provider Profile Details
NPI Number
1346609476
Provider Name
Kevin John Waite JR.
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
140 Keyland Ct Unit 27, Bohemia, NY, 11716-2655
Phone Number
631-750-9088
Fax Number
Provider Enumeration Date
02/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
140 Keyland Ct Unit 27
City
State
Zip
11716-2655
Phone Number
631-750-9088
Fax Number
person
Provider Business Mailing Address Details
Address
140 Keyland Ct Unit 27
City
State
Zip
11716-2655
Phone Number
631-750-9088
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Nutrition Support
Taxonomy
License No.
061399 (New York)
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
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