National Provider Identifier

Cory Everett Fominaya, PHARM.D.

Cory Everett Fominaya, PHARM.D. is listed in the NPPES registry with a primary specialty of Pharmacist in Buffalo, NY and a listed phone number of (716) 645-4772.

NPI 1134414352Buffalo, NYPharmacist

Profile Overview

NPI
1134414352
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
June 15, 2011
Last Updated
June 15, 2011

Practice Location

  • Suny At Buffalo
  • 233 Cooke Hall
  • Buffalo, NY 14214-3001

Phone: (716) 645-4772

Mailing Address

  • 271 Palmdale Dr Apt 7
  • Williamsville, NY 14221-4013

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1134414352
Entity Type
Individual
Last Name
Fominaya
First Name
Cory
Middle Name
Everett
Name Prefix
Dr.
Credential
PHARM.D.
Mailing Street Address
271 Palmdale Dr Apt 7
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-4013
Mailing Country
US
Practice Street Address
Suny At Buffalo
Practice Address Line 2
233 Cooke Hall
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-3001
Practice Country
US
Practice Phone
(716) 645-4772
Enumeration Date
June 15, 2011
Last Updated
June 15, 2011
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)