Provider Demographics
NPI:1164186482
Name:COTTRILL'S PHARMACY, INC.
Entity Type:Organization
Organization Name:COTTRILL'S PHARMACY, INC.
Other - Org Name:THE APOTHECARY AT COTTRILL'S
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF CLINICAL OFFICER/SENIOR VP
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MELLERSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:716-508-8481
Mailing Address - Street 1:4919 ELLICOTT RD STE A
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-3357
Mailing Address - Country:US
Mailing Address - Phone:716-508-8481
Mailing Address - Fax:716-508-8482
Practice Address - Street 1:4919 ELLICOTT RD STE A
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-3357
Practice Address - Country:US
Practice Address - Phone:716-508-8481
Practice Address - Fax:716-508-8482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-22
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy