Individual provider · Type 1 NPI

Mark Bruce Delevan I, PharmD

Pharmacist · Garden City South, NY

NPI number 1508670456 Active

Practice location

317 Nassau Blvd
Garden City South, NY 11530-5313

Mailing address

6474 80th St
Middle Village, NY 11379-2310

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X072463 (NY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1508670456

Mark Bruce Delevan I, PharmD's National Provider Identifier is 1508670456, issued on Feb 3, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Garden City South, NY. The record was last updated on Feb 3, 2025.