Dr. Gina Marie Derue, PharmD
Pharmacist in Buffalo, NY. Individual provider (NPI-1).
NPI number1073802484
StatusActive
Last updated in NPPESOct 18, 2012
Details
- NPI
- 1073802484
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gina Marie Derue
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2011
- Last updated
- Oct 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 054735 | NY | Yes |
Other names
- Gina Marie Ferris (Former Name)
Practice location
1083 Delaware AveBuffalo, NY 14209-1635
Phone 716-862-2186
Mailing address
5 Stoughton LnOrchard Park, NY 14127-2083
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