Provider Demographics
NPI:1184898702
Name:MARLOWE, KERRY MELINDA (RPH)
Entity type:Individual
Prefix:MISS
First Name:KERRY
Middle Name:MELINDA
Last Name:MARLOWE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4375 SHELLY RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14487-9303
Mailing Address - Country:US
Mailing Address - Phone:585-802-3060
Mailing Address - Fax:
Practice Address - Street 1:4235 VETERAN DR
Practice Address - Street 2:
Practice Address - City:GENESEO
Practice Address - State:NY
Practice Address - Zip Code:14454-9433
Practice Address - Country:US
Practice Address - Phone:585-243-4080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045224183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist