Healthcare Provider Details

I. General information

NPI: 1043533029
Provider Name (Legal Business Name): JAMES LARNARD R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2010
Last Update Date: 03/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 WASHINGTON ST
ELMIRA NY
14901-3220
US

IV. Provider business mailing address

103 WASHINGTON ST
ELMIRA NY
14901-3220
US

V. Phone/Fax

Practice location:
  • Phone: 607-737-2056
  • Fax: 607-734-3021
Mailing address:
  • Phone: 607-737-2056
  • Fax: 607-734-3021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number027265
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: