Organization
HARBOR PHARMACY OF UTICA LLC
Active
Other names
Harbor Pharmacy of Utica, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BRANSHAW (MEMBER)
(315) 342-6822
Entity
Organization
Contact information
Practice address
918 JAMES ST STE B1, SYRACUSE, NY 13203-2500
(315) 342-6822
(315) 342-5951
Mailing address
24 W BRIDGE ST, OSWEGO, NY 13126-2051
(315) 735-3300
(315) 342-5951
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
031033
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133109
PK
—
Enumeration date
09/26/2011
Last updated
06/16/2015
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