Provider Demographics
NPI:1376667980
Name:HARB, JAMES
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:HARB
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 PRESIDIO PL
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3723
Mailing Address - Country:US
Mailing Address - Phone:716-626-1119
Mailing Address - Fax:716-876-1349
Practice Address - Street 1:1770 COLVIN BLVD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14223-1108
Practice Address - Country:US
Practice Address - Phone:716-876-2323
Practice Address - Fax:716-876-1349
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33664183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist