Healthcare Provider Details

I. General information

NPI: 1790952919
Provider Name (Legal Business Name): JENNIFER A KARPIE-OTTERSTEIN PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2008
Last Update Date: 05/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 MAPLE RD
WILLIAMSVILLE NY
14221-4038
US

IV. Provider business mailing address

2309 MAPLE RD
WILLIAMSVILLE NY
14221-4038
US

V. Phone/Fax

Practice location:
  • Phone: 716-515-3205
  • Fax: 716-515-3218
Mailing address:
  • Phone: 716-515-3205
  • Fax: 716-515-3218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number046838
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: