National Provider Identifier

Kathleen Valerie Koscielski-Mallory, RPH

Kathleen Valerie Koscielski-Mallory, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Arcade, NY and a listed phone number of (585) 492-2310.

NPI 1093996811Arcade, NYPharmacist

Profile Overview

NPI
1093996811
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
November 20, 2007
Last Updated
February 12, 2015

Practice Location

  • 255 Main St
  • Arcade, NY 14009-1214

Phone: (585) 492-2310

Mailing Address

  • 12775 Broadway St
  • Alden, NY 14004-9569

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1093996811
Entity Type
Individual
Last Name
Koscielski-Mallory
First Name
Kathleen
Middle Name
Valerie
Name Prefix
Mrs.
Credential
RPH
Mailing Street Address
12775 Broadway St
Mailing City
Alden
Mailing State
NY
Mailing ZIP Code
14004-9569
Mailing Country
US
Mailing Phone
(716) 937-6316
Mailing Fax
(716) 505-1467
Practice Street Address
255 Main St
Practice City
Arcade
Practice State
NY
Practice ZIP Code
14009-1214
Practice Country
US
Practice Phone
(585) 492-2310
Practice Fax
(585) 492-2310
Enumeration Date
November 20, 2007
Last Updated
February 12, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)
Other Identifiers
01977375 (NY)