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Individual
KATHY KORGIALAS
Active
Individual
KATHY KORGIALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042680
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042680
PHARMACIST LICENSE
NY
Enumeration date
03/09/2010
Last updated
03/09/2010
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