Healthcare Provider Details

I. General information

NPI: 1730369646
Provider Name (Legal Business Name): RICHARD R. ORLOWSKI PHARMD.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

1381 NASH RD
NORTH TONAWANDA NY
14120-2338
US

IV. Provider business mailing address

1016 PIONEER DR
NORTH TONAWANDA NY
14120-2928
US

V. Phone/Fax

Practice location:
  • Phone: 716-694-0022
  • Fax:
Mailing address:
  • Phone: 716-692-5902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051836
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: