Organization
MARLENE A GREGORY
Active
Other names
CORNER DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE GREGORY (OWNER/PHARMACIST)
(716) 257-3741
Entity
Organization
Contact information
Practice address
1 WASHINGTON ST, CATTARAUGUS, NY 14719-1015
(716) 257-3741
(716) 257-9586
Mailing address
1 WASHINGTON ST, CATTARAUGUS, NY 14719-1015
(716) 257-3741
(716) 257-9586
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022893
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01640546
—
NY
01
—
2064619
PK
—
Enumeration date
09/12/2006
Last updated
04/10/2014
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