NPI 1013015023

Michael John Heaton, RPH

Practitioner Pharmacist Syracuse, NY

Practice location

Address: 800 Irving Ave, Syracuse, NY 13210-2716
Phone: (315) 425-2456
Mailing address: 9274 Bendigo Dr, Baldwinsville, NY 13027-9067

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 040648 (NY)

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Registry record

NPI: 1013015023
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.