Kevin T Pettenon
Kevin T Pettenon is a Pharmacist in Flushing, New York. Licensed in New York. Registered with an NPI since 2012.
- Licensed in
- NY
- In the registry since
- 2012
Practice location Address checks out
5645 Main StFlushing, NY 11355
Phone: (718) 670-1040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 057094 (NY) |
|---|
Record details
| NPI number | 1881941573 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 13, 2012 |
| Last updated in NPPES | June 24, 2013 |
| Mailing address | 5645 Main St, Flushing, NY 11355 |
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