Individual
CORINA MICHELLE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 E 38TH ST, ERIE, PA 16504-1559
(814) 860-2197
Mailing address
4408 HAMMOCKS DR APT 208, ERIE, PA 16506-7427
(832) 372-5336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
65028
TX
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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