Organization
HARVEYS MEDICAL CTR PHARMACY OF SYRAC
Active
Other names
HARVEYS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BROTHERS RPH (PRES/OWNER)
(315) 476-9246
Entity
Organization
Contact information
Practice address
833 E GENESEE ST, SYRACUSE, NY 13210-1507
(315) 476-9246
(315) 476-6421
Mailing address
833 E GENESEE ST, SYRACUSE, NY 13210-1507
(315) 476-9246
(315) 476-6421
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
011928
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00521802
—
NY
01
—
2064797
PK
—
Enumeration date
09/20/2006
Last updated
04/04/2016
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