Individual
DR. CORY EVERETT FOMINAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
SUNY AT BUFFALO, 233 COOKE HALL, BUFFALO, NY 14214-3001
(716) 645-4772
Mailing address
271 PALMDALE DR APT 7, WILLIAMSVILLE, NY 14221-4013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054622
NY
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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