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Contact Information

GARY W WHITHAM, PHARMACIST
1820 TEALL AVE
SYRACUSE, NY13206
 Phone: 315-437-1531
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for GARY W WHITHAM · (Male)

NPI # 1285818260
Status Active
Credentials PHARMACIST
Entity Individual
Enumeration date 12/26/2007
Last updated 12/26/2007 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 030026
  • NY Medicaid 00482779
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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