=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972826634
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BYRON M HARRINGTON
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/10/2010
-----------------------------------------------------
Last Update Date | 03/10/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 38 S BROAD ST
-----------------------------------------------------
City | NORWICH
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13815-1620
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 607-334-2431
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5049 STATE HIGHWAY 23
-----------------------------------------------------
City | NORWICH
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13815-3179
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 607-334-7687
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 027470
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------