National Provider Identifier
Theodore Gerard Pudhorodsky, R.PH.
Theodore Gerard Pudhorodsky, R.PH. is listed in the NPPES registry with a primary specialty of Pharmacist in Orchard Park, NY and a listed phone number of (716) 667-3967.
Profile Overview
- NPI
- 1881859031
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- July 26, 2008
- Last Updated
- July 26, 2008
Practice Location
- 21 Old Farm RD
- Orchard Park, NY 14127-2853
Phone: (716) 667-3967
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1881859031
- Entity Type
- Individual
- Last Name
- Pudhorodsky
- First Name
- Theodore
- Middle Name
- Gerard
- Name Prefix
- Mr.
- Credential
- R.PH.
- Mailing Street Address
- 21 Old Farm RD
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-2853
- Mailing Country
- US
- Mailing Phone
- (716) 667-3967
- Practice Street Address
- 21 Old Farm RD
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2853
- Practice Country
- US
- Practice Phone
- (716) 667-3967
- Enumeration Date
- July 26, 2008
- Last Updated
- July 26, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)