Provider Demographics
NPI:1730786864
Name:ODDI, ALISON ELAINE (PHARMD)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:ELAINE
Last Name:ODDI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6969 SILVERTON GLN
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-1528
Mailing Address - Country:US
Mailing Address - Phone:585-455-8384
Mailing Address - Fax:
Practice Address - Street 1:1760 WEHRLE DR
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14221-7032
Practice Address - Country:US
Practice Address - Phone:716-238-5349
Practice Address - Fax:716-635-5978
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067064183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist