National Provider Identifier

Cory Vandeusen, RPH

Cory Vandeusen, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Geneva, NY and a listed phone number of (315) 781-7737.

NPI 1730402173Geneva, NYPharmacist

Profile Overview

NPI
1730402173
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
March 11, 2010
Last Updated
March 11, 2010

Practice Location

  • 300 Hamilton St
  • Geneva, NY 14456-2913

Phone: (315) 781-7737

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1730402173
Entity Type
Individual
Last Name
Vandeusen
First Name
Cory
Credential
RPH
Mailing Street Address
300 Hamilton St
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-2913
Mailing Country
US
Mailing Phone
(315) 781-7737
Mailing Fax
(315) 781-1346
Practice Street Address
300 Hamilton St
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-2913
Practice Country
US
Practice Phone
(315) 781-7737
Practice Fax
(315) 781-1346
Enumeration Date
March 11, 2010
Last Updated
March 11, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)
Other Identifiers
052615 (NY, Pharmacist License #)