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Organization
SUNY HEALTH SCIENCE CENTER AT SYRACUSE
Active
Organization
SUNY HEALTH SCIENCE CENTER AT SYRACUSE
Active
Other names
State University of New York Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STUART WRIGHT (CFO)
(315) 464-6530
Entity
Organization
Contact information
Practice address
750 E ADAMS ST, OUTPATIENT PHARMACY, SYRACUSE, NY 13210
(315) 464-3784
(315) 464-9995
Mailing address
750 EAST ADAMS ST, OUTPATIENT PHARMACY, SYRACUSE, NY 13210
(315) 464-3784
(315) 464-9995
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035949
NY
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2174989
PK
—
Enumeration date
12/14/2017
Last updated
05/16/2018
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