is a Pharmacist in Syracuse, New York. practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for is 1710144456. The last update date is .
's current location address is 6040 Tarbell Rd Ste 108, Syracuse, New York. You can contact this provider via phone number 3153628300 and fax number 3157282650. The mailing address for is 6040 Tarbell Rd Ste 108, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 6040 Tarbell Rd Ste 108, Syracuse, New York |
| Phone Number | 3153628300 |
| Fax Number | 3157282650 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1710144456 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 6040 Tarbell Rd Ste 108 |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 132061324 |
| Phone Number | 3153628300 |
| Fax Number | 3157282650 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 51732 |
|
Definition: 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 m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 051732-1 | NY | STATE LICENSE NUMBER |
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