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Individual

DAVID ANTHONY GIARRUSSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
522 W ONONDAGA ST, SYRACUSE, NY 13204-3225
(315) 475-1366
(315) 478-7210
Mailing address
3005 OLD STONE LN, CAMILLUS, NY 13031-9505
(315) 673-1679
(315) 673-1679

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
030167
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01476957
NY
Enumeration date
11/01/2007
Last updated
11/01/2007
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