Individual
BASHAR FAYEZ OTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
25 GRANT ST, BUFFALO, NY 14213-1902
(716) 240-9299
Mailing address
104 CRANBURNE LN, BUFFALO, NY 14221-4971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
072061
NY
Other
Enumeration date
08/30/2025
Last updated
08/30/2025
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