Provider Demographics
NPI:1164900932
Name:MOREY, CASSANDRA NICOLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:NICOLE
Last Name:MOREY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CHEMUNG
Mailing Address - State:NY
Mailing Address - Zip Code:14825-9747
Mailing Address - Country:US
Mailing Address - Phone:607-857-8568
Mailing Address - Fax:
Practice Address - Street 1:2968 ELMIRA ST
Practice Address - Street 2:
Practice Address - City:SAYRE
Practice Address - State:PA
Practice Address - Zip Code:18840-2600
Practice Address - Country:US
Practice Address - Phone:570-888-7516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-02
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP452375183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist