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Organization

BURNET PHARMACY, LLC

Active
Other names
Burnet Pharmacy, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AHMAD MOHAMMAD HAMAD (PRESIDENT)
(315) 437-0102
Entity
Organization

Contact information

Practice address
3056 BURNET AVE STE 12, SYRACUSE, NY 13206-2466
(315) 437-0102
(315) 437-0136
Mailing address
3056 BURNET AVE STE 12, SYRACUSE, NY 13206-2466
(315) 437-0102
(315) 437-0136

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
034539
NY
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04408664
NY
01
2159618
PK
Enumeration date
04/14/2016
Last updated
02/21/2023
About Stedi
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