National Provider Identifier
Gina Marie Derue, PHARMD
Gina Marie Derue, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Buffalo, NY and a listed phone number of (716) 862-2186.
Profile Overview
- NPI
- 1073802484
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- April 06, 2011
- Last Updated
- October 18, 2012
Practice Location
- 1083 Delaware Ave
- Buffalo, NY 14209-1635
Phone: (716) 862-2186
Mailing Address
- 5 Stoughton Ln
- Orchard Park, NY 14127-2083
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1073802484
- Entity Type
- Individual
- Last Name
- Derue
- First Name
- Gina
- Middle Name
- Marie
- Name Prefix
- Dr.
- Credential
- PHARMD
- Provider Other Last Name
- Ferris
- Provider Other First Name
- Gina
- Provider Other Middle Name
- Marie
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- PHARMD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 5 Stoughton Ln
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-2083
- Mailing Country
- US
- Practice Street Address
- 1083 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-1635
- Practice Country
- US
- Practice Phone
- (716) 862-2186
- Enumeration Date
- April 06, 2011
- Last Updated
- October 18, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)