National Provider Identifier

Paul Otto Stage II, PHARMD

Paul Otto Stage II, PHARMD is listed in the NPPES registry with a primary specialty of Ambulatory Care Pharmacist in Elma, NY and a listed phone number of (716) 980-0100.

NPI 1124801626Elma, NYAmbulatory Care Pharmacist

Profile Overview

NPI
1124801626
Provider Type
Individual
Primary Specialty
Ambulatory Care Pharmacist
Enumeration Date
August 17, 2023
Last Updated
October 14, 2024

Practice Location

  • 9 Roycroft Pkwy
  • Elma, NY 14059-9316

Phone: (716) 980-0100

Mailing Address

  • 322 Wellington Ave
  • Buffalo, NY 14223-2518

Specialties

  • Ambulatory Care Pharmacist (1835P2201X)
Full Record
NPI
1124801626
Entity Type
Individual
Last Name
Stage
First Name
Paul
Middle Name
Otto
Name Prefix
Dr.
Name Suffix
II
Credential
PHARMD
Mailing Street Address
322 Wellington Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14223-2518
Mailing Country
US
Mailing Phone
(716) 397-7669
Practice Street Address
9 Roycroft Pkwy
Practice City
Elma
Practice State
NY
Practice ZIP Code
14059-9316
Practice Country
US
Practice Phone
(716) 980-0100
Practice Fax
(716) 980-0104
Enumeration Date
August 17, 2023
Last Updated
October 14, 2024
Sex
Male
Sole Proprietor
Yes
Certification Date
October 14, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Ambulatory Care Pharmacist (1835P2201X)