National Provider Identifier
Michael James Otterson, PHARMD
Michael James Otterson, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Tonawanda, NY and a listed phone number of (716) 835-3348.
Profile Overview
- NPI
- 1275714362
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- November 17, 2007
- Last Updated
- June 08, 2022
Practice Location
- 2601 Sheridan Dr
- Tonawanda, NY 14150-9413
Phone: (716) 835-3348
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1275714362
- Entity Type
- Individual
- Last Name
- Otterson
- First Name
- Michael
- Middle Name
- James
- Name Prefix
- Dr.
- Credential
- PHARMD
- Mailing Street Address
- 2601 Sheridan Dr
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-9413
- Mailing Country
- US
- Mailing Phone
- (716) 835-3348
- Practice Street Address
- 2601 Sheridan Dr
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-9413
- Practice Country
- US
- Practice Phone
- (716) 835-3348
- Practice Fax
- (716) 836-1174
- Enumeration Date
- November 17, 2007
- Last Updated
- June 08, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 05, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)