National Provider Identifier
Randolph O Odamtten
Randolph O Odamtten is listed in the NPPES registry with a primary specialty of Pharmacist in Buffalo, NY and a listed phone number of (716) 622-3693.
Profile Overview
- NPI
- 1023883600
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- November 23, 2023
- Last Updated
- November 23, 2023
Practice Location
- 267 Northwood Dr
- Buffalo, NY 14223-1072
Phone: (716) 622-3693
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1023883600
- Entity Type
- Individual
- Last Name
- Odamtten
- First Name
- Randolph
- Middle Name
- O
- Mailing Street Address
- 267 Northwood Dr
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14223-1072
- Mailing Country
- US
- Mailing Phone
- (716) 622-3693
- Practice Street Address
- 267 Northwood Dr
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14223-1072
- Practice Country
- US
- Practice Phone
- (716) 622-3693
- Enumeration Date
- November 23, 2023
- Last Updated
- November 23, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- November 23, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)