Individual
AUSTIN WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
437 ELECTRONICS PKWY, LIVERPOOL, NY 13088-6001
(315) 453-1750
Mailing address
660 KIBBY RD, BALDWINSVILLE, NY 13027-9629
(315) 255-0014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059463
NY
Other
Enumeration date
11/02/2015
Last updated
07/30/2020
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