National Provider Identifier
Brent Nelson Lange, RPH
Brent Nelson Lange, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Buffalo, NY and a listed phone number of (716) 885-2833.
Profile Overview
- NPI
- 1447582465
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- February 01, 2010
- Last Updated
- February 01, 2010
Practice Location
- 899 Main St
- Buffalo, NY 14203-1109
Phone: (716) 885-2833
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1447582465
- Entity Type
- Individual
- Last Name
- Lange
- First Name
- Brent
- Middle Name
- Nelson
- Credential
- RPH
- Mailing Street Address
- 899 Main St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1109
- Mailing Country
- US
- Mailing Phone
- (716) 885-2833
- Mailing Fax
- (716) 504-5657
- Practice Street Address
- 899 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1109
- Practice Country
- US
- Practice Phone
- (716) 885-2833
- Practice Fax
- (716) 504-5657
- Enumeration Date
- February 01, 2010
- Last Updated
- February 01, 2010
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)