PHILLIP KIM FAVREAU

SYRACUSE, NY
NPI1932537412
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NY  037956)
Enumeration Date2013-10-22
Last Update Date2013-10-22
Business Address
Mr. PHILLIP KIM FAVREAU RPh
736 IRVING AVE
SYRACUSE, NY 13210
Phone number: 315-470-7520
Mailing Address
Mr. PHILLIP KIM FAVREAU RPh
736 IRVING AVE
SYRACUSE, NY 13210
Phone number: 315-470-7520
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