Provider Demographics
NPI:1003618091
Name:PRESCOTT, GINA MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GINA
Middle Name:MARIE
Last Name:PRESCOTT
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:
Other - Last Name:ZURICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:53 HAVERTON LN
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14228-3732
Mailing Address - Country:US
Mailing Address - Phone:716-998-1421
Mailing Address - Fax:
Practice Address - Street 1:SCHOOL OF PHARMACY AND PHARMACEUTICAL SCIENCES
Practice Address - Street 2:285 PHARMACY BUILDING
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214
Practice Address - Country:US
Practice Address - Phone:716-645-4784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0499421835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist