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Organization
SUNY HEALTH SCIENCE CENTER AT SYRACUSE
Active
Organization
SUNY HEALTH SCIENCE CENTER AT SYRACUSE
Active
Other names
SUNY Upstate Out-patient Pharmacy at UCH
Organization subpart
No
Provider details
NPI number
Authorized official
STUART WRIGHT (CFO)
(315) 464-5179
Entity
Organization
Contact information
Practice address
5000 W SENECA TPKE STE A, SYRACUSE, NY 13215-2279
(315) 464-3784
(315) 464-4221
Mailing address
750 E ADAMS ST, ATTN: OUTPATIENT PHARMACY, SYRACUSE, NY 13210-2306
(315) 464-3784
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2174989
PK
—
Enumeration date
03/05/2021
Last updated
03/05/2021
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