National Provider Identifier
Marissa S Chisdock, RPH
Marissa S Chisdock, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Corning, NY and a listed phone number of (607) 937-8307.
Profile Overview
- NPI
- 1083901565
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- July 05, 2011
- Last Updated
- July 05, 2011
Practice Location
- 24 S Bridge St
- Corning, NY 14830-2257
Phone: (607) 937-8307
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1083901565
- Entity Type
- Individual
- Last Name
- Chisdock
- First Name
- Marissa
- Middle Name
- S
- Credential
- RPH
- Mailing Street Address
- 24 S Bridge St
- Mailing City
- Corning
- Mailing State
- NY
- Mailing ZIP Code
- 14830-2257
- Mailing Country
- US
- Mailing Phone
- (607) 937-8307
- Mailing Fax
- (607) 962-6172
- Practice Street Address
- 24 S Bridge St
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830-2257
- Practice Country
- US
- Practice Phone
- (607) 937-8307
- Practice Fax
- (607) 962-6172
- Enumeration Date
- July 05, 2011
- Last Updated
- July 05, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)