Provider Demographics
NPI:1619309176
Name:DURALL, CORI JO (PHARMD)
Entity Type:Individual
Prefix:
First Name:CORI
Middle Name:JO
Last Name:DURALL
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 1:2024 S OHIO ST
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-6708
Mailing Address - Country:US
Mailing Address - Phone:785-827-0408
Mailing Address - Fax:785-827-8371
Practice Address - Street 1:2024 S OHIO ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-6708
Practice Address - Country:US
Practice Address - Phone:785-827-0408
Practice Address - Fax:785-827-8371
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS115213183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist