Organization
BONAPARTE PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN MICHAEL BESAW (PRESIDENT)
(315) 528-6659
Entity
Organization
Contact information
Practice address
8210 MAIN ST., HARRISVILLE, NY 13648
(315) 537-5032
(315) 537-5033
Mailing address
PO BOX 218, HARRISVILLE, NY 13648-0218
(315) 537-5032
(315) 537-5033
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032170
STATE LICENSE
NY
05
—
03822680
—
NY
Enumeration date
11/14/2013
Last updated
06/14/2014
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