Individual
MR. TERRANCE LEE OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
(888) 701-2089
Mailing address
5577 GIRDLE RD, WEST FARMINGTON, OH 44491-9724
(440) 318-5154
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
270100103110052
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270100103110052
PTCB CERTIFICATION -CERTIFIED PHARMACY TECHNICIAN
OH
Enumeration date
06/12/2011
Last updated
06/12/2011
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