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NPI Code Detail

MEDICARE: DR. THERESA ARINOLA OLUWASUSI PHARMD

MEDICARE:  DR. THERESA ARINOLA OLUWASUSI  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist047565NY
21835G0303XGeriatric Pharmacist047565NY

General Provider Information

NPI Number : 1194977082
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THERESA ARINOLA OLUWASUSI PHARMD
Provider Business Mailing Address
First Line : 2834 ROUTE 17M
Second Line :
City : NEW HAMPTON
State : NY
Zip : 10958-5011
Country : US
Telephone Number : 845-374-8700
Fax Number : 845-374-8868
Provider Business Practice Location Address
First Line : 2834 ROUTE 17M
Second Line :
City : NEW HAMPTON
State : NY
Zip : 10958-5011
Country : US
Telephone Number : 845-374-8700
Fax Number : 845-374-8868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2008
Last Update Date : 10/22/2008

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