Healthcare Provider Details

I. General information

NPI: 1881773273
Provider Name (Legal Business Name): RANDALL BUCHANAN RPH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 ELM ST
FRANKLINVILLE NY
14737-1004
US

IV. Provider business mailing address

9 CHERRY ST
FRANKLINVILLE NY
14737-1101
US

V. Phone/Fax

Practice location:
  • Phone: 716-676-3350
  • Fax: 716-676-3749
Mailing address:
  • Phone: 716-676-3350
  • Fax: 716-676-3749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number045393
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: