| Doctor Name: | DR. THERESA ARINOLA OLUWASUSI |
| NPI Number: | 1194977082 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHARMD |
| License Number: | 047565 |
| Business Practice Address: | 2834 Route 17m New Hampton, NY - 109585011 |
| Business Phone Number: | 8453748700 |
| Business Fax Number: | 8453748868 |
| Mailing Address: | 2834 Route 17m, NEW HAMPTON |
| State: | NY |
| Postal Code: | 109585011 |
| Phone Number: | 8453748700 |
| Fax Number: | 8453748868 |
| NPI Enumeration Date: | 10/22/2008 |
| NPI Last Update Date: | 10/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835G0303X |
| License Number: | 047565 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Geriatric |
| Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |