Healthcare Provider Details

I. General information

NPI: 1083939565
Provider Name (Legal Business Name): JAMES PAUL BYRNES RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2010
Last Update Date: 03/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 NORTH STATE STREET
NUNDA NY
14517
US

IV. Provider business mailing address

12 NORTH STATE STREET PO BOX 518
NUNDA NY
14517
US

V. Phone/Fax

Practice location:
  • Phone: 585-468-2416
  • Fax: 585-468-5705
Mailing address:
  • Phone: 585-468-2416
  • Fax: 585-468-5705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number025844
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: