Individual
ANTHONY RICHARD PELOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-2462
Mailing address
1705 EUCLID AVE, SYRACUSE, NY 13224-1903
(315) 446-4363
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
039553
NY
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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