Provider Demographics
NPI:1881773273
Name:BUCHANAN, RANDALL (RPH)
Entity type:Individual
Prefix:
First Name:RANDALL
Middle Name:
Last Name:BUCHANAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLINVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14737-1101
Mailing Address - Country:US
Mailing Address - Phone:716-676-3350
Mailing Address - Fax:716-676-3749
Practice Address - Street 1:2 ELM ST
Practice Address - Street 2:
Practice Address - City:FRANKLINVILLE
Practice Address - State:NY
Practice Address - Zip Code:14737-1004
Practice Address - Country:US
Practice Address - Phone:716-676-3350
Practice Address - Fax:716-676-3749
Is Sole Proprietor?:No
Enumeration Date:2006-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045393183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist