Individual
CORY RYAN VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
329 N SALINA ST STE P, SYRACUSE, NY 13203-1755
(315) 930-3823
(315) 314-5466
Mailing address
329 N SALINA ST STE P, SYRACUSE, NY 13203-1755
(315) 930-3823
(315) 314-5466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059587
NY
Other
Enumeration date
01/07/2015
Last updated
11/20/2018
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