Bonin, Victor Herbert

Bonin, Victor Herbert is an individual health care provider with primary practice located at 430 S Main St , N Syracuse NY 13212-2844. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bonin, Victor Herbert can be contacted via phone (315) 458-1231.

Contact Information

Primary practice address
430 S Main St N Syracuse NY 13212-2844
Phone: (315) 458-1231
Fax: (315) 458-8558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 017908-1 New York

Profile Details

NPI number 1881728657
LBN Legal business name Bonin, Victor Herbert
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881728657 NPPES
New York Other 012248 PHARMACY LICENSE
New York MEDICAID 00559586 PHARMACY LICENSE

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