Provider Demographics
NPI:1144340191
Name:REUSCH, ARLENE FERRENTINO (BS)
Entity type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:FERRENTINO
Last Name:REUSCH
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 LARKSPUR LN
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1976
Mailing Address - Country:US
Mailing Address - Phone:716-691-2641
Mailing Address - Fax:
Practice Address - Street 1:1740 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14223-1210
Practice Address - Country:US
Practice Address - Phone:716-874-5020
Practice Address - Fax:716-874-7815
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041395183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist