BRANDON OTTENSCHOT

LACKAWANNA, NY
NPI1558144113
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NY  070590)
Enumeration Date2023-08-17
Last Update Date2023-08-17
Business Address
BRANDON OTTENSCHOT
1328 ABBOTT RD
LACKAWANNA, NY 14218-1910
Phone number: 716-828-1696
Mailing Address
BRANDON OTTENSCHOT
1328 ABBOTT RD
LACKAWANNA, NY 14218-1910
Phone number: 716-828-1696