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Organization
HARBOR PHARMACY OF UTICA LLC
Active
Organization
HARBOR PHARMACY OF UTICA LLC
Active
Other names
Harbor Pharmacy of Utica, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BRANSHAW (MEMBER)
(315) 342-6822
Entity
Organization
Contact information
Practice address
918 JAMES ST STE B1, SYRACUSE, NY 13203-2500
(315) 342-6822
(315) 342-5951
Mailing address
24 W BRIDGE ST, OSWEGO, NY 13126-2051
(315) 735-3300
(315) 342-5951
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
031033
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133109
PK
—
Enumeration date
09/26/2011
Last updated
06/16/2015
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