Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Phillip Kim Favreau Jr., RPH

Individual provider Pharmacist · NPI 1932537412

Mr. Phillip Kim Favreau Jr., RPH is a Pharmacist in Syracuse, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

736 Irving Ave
Syracuse, NY 13210
Phone: (315) 470-7520
Fax: (315) 470-7976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 037956 (NY)

Record details

NPI number1932537412
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedOctober 22, 2013
Last updated in NPPESOctober 22, 2013

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