Provider Demographics
NPI:1720410111
Name:DEMPSEY, COLLIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:COLLIN
Middle Name:
Last Name:DEMPSEY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3796 RIVERS POINTE WAY
Mailing Address - Street 2:APT 15
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-4915
Mailing Address - Country:US
Mailing Address - Phone:315-751-5053
Mailing Address - Fax:
Practice Address - Street 1:8379 THOMPSON RD
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:NY
Practice Address - Zip Code:13039-9390
Practice Address - Country:US
Practice Address - Phone:315-699-9608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058142183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist