Provider Demographics
NPI:1962010694
Name:CORNING HOSPITAL
Entity Type:Organization
Organization Name:CORNING HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, OUTPATIENT PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MIHALEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-887-2800
Mailing Address - Street 1:1 GUTHRIE SQUARE
Mailing Address - Street 2:CLINIC PHARMACY
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840
Mailing Address - Country:US
Mailing Address - Phone:570-887-2800
Mailing Address - Fax:
Practice Address - Street 1:1 GUTHRIE DRIVE
Practice Address - Street 2:CORNING HOSPITAL OUTPATIENT PHARMACY
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830
Practice Address - Country:US
Practice Address - Phone:570-887-2800
Practice Address - Fax:570-887-2827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy